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Magnetic Resonance Image Findings and Surgical Considerations in T1-2 Disc Herniation

Published online by Cambridge University Press:  16 December 2016

H. Caner ,
B.F. Kilinçoglu ,
S. Benli ,
N. Altinörs  and
M. Bavbek
H. Caner
Affiliation:
Departments of Neurosurgery and Neurology, Baskent University, Faculty of Medicine, Ankara, Turkey
B.F. Kilinçoglu
Affiliation:
Departments of Neurosurgery and Neurology, Baskent University, Faculty of Medicine, Ankara, Turkey
S. Benli
Affiliation:
Departments of Neurosurgery and Neurology, Baskent University, Faculty of Medicine, Ankara, Turkey
N. Altinörs
Affiliation:
Departments of Neurosurgery and Neurology, Baskent University, Faculty of Medicine, Ankara, Turkey
M. Bavbek
Affiliation:
Departments of Neurosurgery and Neurology, Baskent University, Faculty of Medicine, Ankara, Turkey
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Abstract:

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Objective:

To report a case of disc herniation at Tl-2.

Clinical presentation:

A 57-year-old man presented with hand weakness, Horner's syndrome, and pain radiating along the medial aspect of one upper extremity. Magnetic resonance imaging demonstrated extruded Tl-2 disc herniation with upward herniation of a sequestrated fragment.

Intervention:

An anterior approach was used to excise the disc, that was compressing the spinal cord and the Tl nerve root. All the patient's symptoms resolved completely, including Horner's syndrome.

Conclusion:

Anterior discectomy may be the simplest and most effective method for disc excision and relief of spinal cord and Tl nerve root compression.

Résumé:

RÉSUMÉ:Objectif:

Rapporter un cas de hernie discale au niveau de D1-D2, une condition qui présente souvent un défi diagnostique au point de vue clinique et un défi dans l'approche chirurgicale.

Présentation de cas:

Un homme âgé de 57 ans a consulté pour une faiblesse musculaire au niveau de la main, un syndrome de Horner et une douleur irradiant à la région médiale du membre supérieur. La RMN a montré une hernie discale au niveau de D1-D2 avec hernie vers le haut d'un fragment séquestré.

Intervention:

Une approche antérieure a été utilisée pour exciser le disque comprimant la moelle épinière et la racine nerveuse Dl. Tous les symptômes du patient, incluant le syndrome de Horner, ont régressé.

Conclusion:

La discectomie antérieure peut être la méthode la plus simple et la plus efficace pour exciser le disque et soulager la compression de la moelle épinière et de la racine nerveuse Dl.

Type
Case Report
Information
Canadian Journal of Neurological Sciences , Volume 30 , Issue 2 , May 2003 , pp. 152 - 154
Copyright
Copyright © The Canadian Journal of Neurological 2001

References

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