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Two-level thoracic disc herniation

N Levi¹, K Dons

¹Department of Neurosurgery, Rigshospitalet, University of Copenhagen, Denmark.

The Mount Sinai Journal of Medicine, New York

|December 9, 1998

Summary

This summary is machine-generated.

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This case report details a rare two-level thoracic disc herniation in a 48-year-old woman. Surgical decompression successfully resolved her pain, though sensory deficits persisted post-operatively.

Area of Science:

Neurosurgery
Spinal Surgery
Radiology

Background:

Thoracic disc herniations are uncommon, particularly at multiple levels.
Persistent thoracic pain can significantly impact quality of life.

Observation:

A 48-year-old woman presented with a 10-month history of right-sided thoracic pain.
Physical examination revealed sensory deficits in the T6-T8 dermatomes.
MRI confirmed a large herniated disc at T7/8 and a smaller one at T6/7.

Findings:

Surgical intervention via a unilateral transpedicular approach successfully removed the T7/8 herniation and decompressed the T6/7 level.
The patient experienced complete pain resolution post-surgery.
Persistent hypoesthesia in the T6-T8 dermatomes was noted at the six-month follow-up.

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Implications:

This case highlights the successful surgical management of rare multi-level thoracic disc herniations.
It underscores the importance of accurate diagnosis and tailored surgical approaches for thoracic disc pathologies.
The persistence of sensory deficits warrants further investigation into long-term neurological outcomes.