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Related Experiment Videos

Acute noncontiguous multiple-level thoracic disc herniations with myelopathy: a case report.

Cheng-Fong Chen1, Ming-Chau Chang, Chien-Lin Liu

  • 1Department of Orthopedics, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Spine
|April 15, 2004
PubMed
Summary

This case report details a rare instance of acute, triple-level, noncontiguous thoracic disc herniation. Surgical decompression improved symptoms, but complete relief required addressing all herniated levels.

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Neurology

Background:

  • Multiple-level symptomatic thoracic disc herniations are rare and typically present as contiguous, chronic lesions.
  • Acute, noncontiguous, triple-level thoracic disc herniations with myelopathy have not been previously reported.

Observation:

  • A 38-year-old man experienced delayed lower limb weakness, paresthesias, and urinary dysfunction after minor trauma.
  • Imaging revealed acute, triple-level, noncontiguous thoracic disc herniations at T6, T9-T10, and T11-T12.

Findings:

  • Surgical decompression of the T9-T10 herniation led to significant neurological improvement within a week.
  • At one year, the patient had improved gait but persistent paresthesias, as he declined further surgery on other levels.

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Implications:

  • Thoracic disc herniation presentation can be variable and may not correlate with imaging findings.
  • Complete symptom resolution may necessitate decompression at all symptomatic, noncontiguous herniated disc levels.