继发于T1-T2椎间盘突出的霍纳综合征
Horner's syndrome secondary to T1-T2 intervertebral disc prolapse.
作者信息
Anto Mariette, Manuel Adarsh, Jayachandran Akarsh, Thomas Santhosh George, Joseph Anu, Thankachan Anjitha, Bahuleyan Biji
机构信息
Department of Neurosurgery, Lisie Hospital, Ernakulam, Kerala, India.
Department of Ophthalmology, Lisie Hospital, Ernakulam, Kerala, India.
出版信息
Surg Neurol Int. 2022 Sep 9;13:412. doi: 10.25259/SNI_580_2022. eCollection 2022.
BACKGROUND
T1-T2 intervertebral disc prolapse (IVDP) is a rare clinical condition. Horner's syndrome is an extremely rare clinical finding in these patients.
CASE DESCRIPTION
A 56-year-old man presented with the left C8 T1 radiculopathy, left hand grip weakness, and ipsilateral Horner's syndrome. Magnetic resonance imaging of the spine showed a contrast-enhancing lesion in the left T1 foramen compressing the left T1 nerve root. He underwent left T1 hemilaminectomy, upper half of left T2 hemilaminectomy and removal of the left foraminal lesion. A biopsy of the lesion was sent for histopathological diagnosis which revealed tissue consistent with disc material. Postoperatively, he had near-complete recovery with residual minimal Horner's syndrome.
CONCLUSION
T1-T2 IVDP should be considered in the differential diagnosis when a patient presents with C8 T1 radiculopathy and Horner's syndrome.
背景
T1 - T2椎间盘突出症（IVDP）是一种罕见的临床病症。霍纳综合征在这些患者中是极为罕见的临床表现。
病例描述
一名56岁男性出现左侧C8 - T1神经根病、左手握力减弱及同侧霍纳综合征。脊柱磁共振成像显示左侧T1椎间孔有一强化病灶压迫左侧T1神经根。他接受了左侧T1半椎板切除术、左侧T2上半部分半椎板切除术及左侧椎间孔病灶切除术。病灶活检送去做组织病理学诊断，结果显示组织与椎间盘物质相符。术后，他几乎完全康复，仅残留轻微霍纳综合征症状。
结论
当患者出现C8 - T1神经根病及霍纳综合征时，鉴别诊断应考虑T1 - T2椎间盘突出症（IVDP）。
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