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Related Experiment Videos

Herniated thoracic discs mimic cardiac disease: three case reports

M A Eleraky1, P J Apostolides, C A Dickman

  • 1Division of Neurological Surgery, Barrow Neurological Institute, Mercy Healthcare Arizona, Phoenix, USA.

Acta Neurochirurgica
|October 22, 1998
PubMed
Summary

Herniated thoracic discs can mimic cardiac symptoms like chest pain. Prompt diagnosis with imaging and minimally invasive surgery led to complete recovery for three patients.

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Area of Science:

  • Neurosurgery
  • Cardiology
  • Thoracic Surgery

Background:

  • Thoracic disc herniations are rare and can present with atypical symptoms.
  • Symptoms may include severe chest pain, potentially misdiagnosed as cardiac conditions such as angina.

Observation:

  • Three patients presented with symptoms suggestive of cardiac disease, including intense stabbing chest pain radiating from the back.
  • Initial cardiac evaluations for these patients were negative, prompting further investigation.

Findings:

  • Advanced imaging, specifically magnetic resonance imaging (MRI) and computed tomography myelography, successfully identified herniated thoracic discs as the cause of symptoms.
  • All three patients underwent successful video-assisted endoscopic thoracic discectomy.

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Implications:

  • This case series highlights the importance of considering non-cardiac causes for chest pain.
  • Minimally invasive thoracic discectomy is an effective treatment for herniated thoracic discs causing referred pain.
  • Early and accurate diagnosis through appropriate imaging is crucial for successful patient outcomes.