Cahueque Mario, Cobar Andres, Montenegro Santiago
Hospital Maranatha, 13 Calle 15, Guatemala City 01010, Guatemala.
Hospital Centro Medico, 6A Avenida 3-47, Guatemala City 01010, Guatemala.
J Surg Case Rep. 2025 Jan 15;2025(1):rjaf001. doi: 10.1093/jscr/rjaf001. eCollection 2025 Jan.
This case report highlights the rare presentation of an acute thoracic disc herniation in a 27-year-old male. Thoracic disc herniations are uncommon, accounting for less than 1% of all disc herniations, and acute presentations have scantly been recorded in literature. The patient, a mechanic, presented with a sudden onset of dorsal pain and bilateral lower limb weakness after lifting heavy equipment, leading to a sudden cease of most motor functions in the patient's lower limbs. Magnetic resonance imaging revealed a severe T9/T10 herniation with significant spinal cord compression. Emergency surgical decompression via a right-sided transpedicular thoracic approach was performed, resulting in progressive neurological recovery. This case underscores the importance of early diagnosis, timely surgical intervention, and multidisciplinary management in achieving favorable outcomes for this rare condition.
本病例报告强调了一名27岁男性急性胸椎间盘突出症的罕见表现。胸椎间盘突出症并不常见，占所有椎间盘突出症的比例不到1%，而急性表现的文献记载极少。该患者为一名机械师，在搬运重型设备后突然出现背部疼痛和双侧下肢无力，导致其下肢大部分运动功能突然丧失。磁共振成像显示严重的T9/T10椎间盘突出伴明显脊髓受压。通过右侧经椎弓根胸椎入路进行了急诊手术减压，患者神经功能逐渐恢复。该病例强调了早期诊断、及时手术干预以及多学科管理对于这种罕见疾病取得良好预后的重要性。
