Levi N, Dons K
Department of Neurosurgery, Rigshospitalet, University of Copenhagen, Denmark.
Mt Sinai J Med. 1998 Oct-Nov;65(5-6):404-5.
We report a rare case of two-level thoracic disc herniation that occurred in a 48-year-old woman. She was referred with a 10-month history of pain on the right side of the thorax. On examination, she had hypoesthesia and hypalgesia in the right T6-T8 dermatomes. An MRI scan revealed a large herniated disc at the T7/8 level and a smaller herniated disc at the T6/7 level. At surgery, the unilateral transpedicular approach was used, and a large prolapse was removed at the T7/8 level. The T6/7 level was decompressed. The patient made an uneventful recovery. Six months after surgery her pain had disappeared, but she still had hypoesthesia in the right T6-T8 dermatomes.
我们报告了一例罕见的发生在一名48岁女性身上的两节段胸椎间盘突出症病例。她因右侧胸部疼痛10个月前来就诊。检查时，她在右侧T6 - T8皮节有感觉减退和痛觉减退。磁共振成像（MRI）扫描显示T7/8节段有一个大的椎间盘突出，T6/7节段有一个较小的椎间盘突出。手术中采用了单侧经椎弓根入路，在T7/8节段切除了一个大的脱垂组织。对T6/7节段进行了减压。患者恢复顺利。术后六个月，她的疼痛消失了，但右侧T6 - T8皮节仍有感觉减退。
