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Updated: Feb 24, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

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Published on: October 14, 2022

T1-T2 Herniated Disk Presenting with Horner Syndrome.

Joaquim C Teixeira¹, Maria M Santos¹, João L Melancia²

¹Department of Neurosurgery, Hospital de Santa Maria (CHLN), Lisbon, Portugal.

World Neurosurgery

|August 27, 2017

Summary

Upper thoracic herniated discs are rare but can cause Horner syndrome. Prompt surgical treatment for T1-T2 herniation led to complete symptom resolution in a young patient.

Keywords:

Horner syndrome Spine Thoracic disk herniation

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Area of Science:

Neurosurgery
Spinal Surgery
Neurology

Background:

Thoracic disk herniation incidence is rare, with upper thoracic cases being exceedingly uncommon.
Upper thoracic disk herniations present unique neurological features.
Horner syndrome is a rare neurological condition affecting the face and eye.

Observation:

A 34-year-old female presented with sudden onset left-sided ptosis and miosis, indicative of Horner syndrome.
The patient reported a two-month history of left-sided neck, scapular, and arm pain and numbness.
Cervical MRI revealed a T1-T2 left disk herniation compressing the T1 nerve root.

Findings:

Surgical microdiskectomy effectively treated the T1-T2 herniation.
Post-operative recovery showed complete resolution of the patient's left arm pain.
The patient's Horner syndrome symptoms completely regressed following the surgical intervention.

Implications:

Upper thoracic disk herniation should be considered in the differential diagnosis for patients with upper limb pain and Horner syndrome.
Timely surgical intervention for symptomatic T1-T2 disk herniation can lead to excellent patient outcomes.
This case highlights the importance of considering rare spinal pathologies in neurological presentations.