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Unusual presentation of thoracic disc herniation
Thomas Zambelis1, Andreas Polydorou2, Evangelos Anagnostou1
1Department of Neurology, National and Kapodistrian University of Athens, Aeghinition Hospital, Athens, Greece.
British Journal of Neurosurgery
|April 25, 2018
Summary
A rare thoracic disc herniation caused abdominal wall bulging in a 57-year-old man. Symptoms resolved after eight months, highlighting this uncommon condition and its potential for recovery.
Area of Science:
- Neurology
- Radiology
- Spinal Surgery
Background:
- Thoracic disc herniations are uncommon spinal conditions.
- Abdominal wall bulging is an unusual presentation for thoracic disc disease.
Observation:
- A 57-year-old male presented with lateral abdominal wall bulging.
- Magnetic Resonance Imaging (MRI) revealed a herniated thoracic disc at the T11-T12 level.
- Needle electromyography indicated acute denervation in paraspinal and abdominal muscles supplied by the T11 nerve root.
Findings:
- The patient experienced significant reduction in abdominal swelling over eight months.
- This case adds to the limited literature on thoracic disc herniations presenting with abdominal wall abnormalities.
Implications:
- Thoracic disc herniation should be considered in the differential diagnosis of abdominal wall bulging.
- Early diagnosis and management may lead to favorable outcomes.
- Further research into the pathophysiology and treatment of thoracic disc herniations is warranted.
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