T1-T2 Herniated Disk Presenting with Horner Syndrome.
World Neurosurg. 2017 Nov;107:1050.e13-1050.e15
Authors: Teixeira JC, Santos MM, Melancia JL
BACKGROUND: The incidence of thoracic disk herniation is estimated to be 1000 to 1,000,000. Higher thoracic disk herniation is an exceedingly uncommon pathology with distinctive neurologic options. We report a case of a younger affected person who introduced with Horner syndrome brought on by a T1-T2 disk herniation.
CASE DESCRIPTION: A 34-year-old feminine affected person was admitted to the emergency division presenting a sudden-onset historical past of ptosis and miosis on the left eye (Horner syndrome). She reported a 2-month historical past of neck, scapular, and medial left arm and forearm ache and numbness. The cervical magnetic resonance picture confirmed a T1-T2 left disk herniation with intraforaminal compression of the T1 nerve root. A microdiskectomy was carried out, and each left arm ache and Horner syndrome have utterly regressed.
CONCLUSIONS: Symptomatic T1-T2 disk herniation is an unusual situation in a backbone surgeon every day routine. The differential analysis for sufferers presenting higher limb ache and Horner’s Syndrome ought to embody higher thoracic disk herniation. Sufferers’ outcomes could be glorious if an ample surgical remedy is well timed offered.
PMID: 28842234 [PubMed – indexed for MEDLINE]