一例罕见的T1-2胸椎间盘突出症酷似颈椎病神经根病
A Rare Case of T1-2 Thoracic Disc Herniation Mimicking Cervical Radiculopathy.
作者信息
Gokcen H Bahadir, Erdogan Sinan, Gumussuyu Gurkan, Ozturk Sidar, Ozturk Cagatay
机构信息
Istinye University, Istanbul, Turkey.
Medicalpark Hospital, Istanbul, Turkey.
出版信息
Int J Spine Surg. 2017 Nov 28;11(4):30. doi: 10.14444/4030. eCollection 2017.
INTRODUCTION
Thoracic disc herniation is not as common as other disc herniations seen at other levels of spinal column. Th1-Th2 disc herniation is an extremely rare condition. Physical and cautious radiological examination is significantly important for diagnosis.
CASE PRESENTATION
We report a 45 years old male case with complaint of neck pain radiating to right upper extremity. The physical examination revealed Th1 radiculopathy symptoms. According to his images degeneration at C6-7 level and right T1 root compression due to Th1-Th2 disc herniation at foraminal region were evaluated. The patient underwent hemilaminectomy, foraminatomy and discectomy at T1-T2 level via posterior approach.
CONCLUSION
T1-2 level thoracic disc herniation can accompany with cervical region problems and some syndromes can mimic Th1 radiculopathy symptoms. The aim of this case report is to keep on mind of this rare condition and to emphasize the importance of physical findings and correlations with magnetic resonance imaging.
引言
胸椎间盘突出症不如脊柱其他节段所见的其他椎间盘突出症常见。胸1-胸2椎间盘突出症是一种极其罕见的病症。体格检查和谨慎的影像学检查对诊断极为重要。
病例介绍
我们报告一例45岁男性病例，主诉颈部疼痛并向右上肢放射。体格检查发现胸1神经根病症状。根据其影像，评估了颈6-7节段的退变以及椎间孔区域胸1-胸2椎间盘突出导致的右侧胸1神经根受压情况。患者通过后路在胸1-胸2节段接受了半椎板切除术、椎间孔切开术和椎间盘切除术。
结论
胸1-2节段胸椎间盘突出症可伴有颈部区域问题，一些综合征可模仿胸1神经根病症状。本病例报告的目的是提醒大家注意这种罕见病症，并强调体格检查结果以及与磁共振成像相关性的重要性。
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