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Posteriorly migrated thoracic disc herniation: a case report

INTRODUCTION: Posterior epidural migration of thoracic disc herniation is extremely rare but may occur in the same manner as in the lumbar spine. CASE PRESENTATION: A 53-year-old Japanese man experienced sudden onset of incomplete paraplegia after lifting a heavy object. Magnetic resonance imaging r...

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Autores principales: Miyakoshi, Naohisa, Hongo, Michio, Kasukawa, Yuji, Ishikawa, Yoshinori, Shimada, Yoichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3582544/
https://www.ncbi.nlm.nih.gov/pubmed/23402642
http://dx.doi.org/10.1186/1752-1947-7-41
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author Miyakoshi, Naohisa
Hongo, Michio
Kasukawa, Yuji
Ishikawa, Yoshinori
Shimada, Yoichi
author_facet Miyakoshi, Naohisa
Hongo, Michio
Kasukawa, Yuji
Ishikawa, Yoshinori
Shimada, Yoichi
author_sort Miyakoshi, Naohisa
collection PubMed
description INTRODUCTION: Posterior epidural migration of thoracic disc herniation is extremely rare but may occur in the same manner as in the lumbar spine. CASE PRESENTATION: A 53-year-old Japanese man experienced sudden onset of incomplete paraplegia after lifting a heavy object. Magnetic resonance imaging revealed a posterior epidural mass compressing the spinal cord at the T9-T10 level. The patient underwent emergency surgery consisting of laminectomy at T9-T10 with right medial facetectomy, removal of the mass lesion, and posterior instrumented fusion. Histological examination of the mass lesion yielded findings consistent with sequestered disc material. His symptoms resolved, and he was able to resume walking without a cane 4 weeks after surgery. CONCLUSIONS: Pre-operative diagnosis of posterior epidural migration of herniated thoracic disc based on magnetic resonance imaging alone may be overlooked, given the rarity of this pathology. However, this entity should be considered among the differential diagnoses for an enhancing posterior thoracic extradural mass.
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spelling pubmed-35825442013-02-27 Posteriorly migrated thoracic disc herniation: a case report Miyakoshi, Naohisa Hongo, Michio Kasukawa, Yuji Ishikawa, Yoshinori Shimada, Yoichi J Med Case Rep Case Report INTRODUCTION: Posterior epidural migration of thoracic disc herniation is extremely rare but may occur in the same manner as in the lumbar spine. CASE PRESENTATION: A 53-year-old Japanese man experienced sudden onset of incomplete paraplegia after lifting a heavy object. Magnetic resonance imaging revealed a posterior epidural mass compressing the spinal cord at the T9-T10 level. The patient underwent emergency surgery consisting of laminectomy at T9-T10 with right medial facetectomy, removal of the mass lesion, and posterior instrumented fusion. Histological examination of the mass lesion yielded findings consistent with sequestered disc material. His symptoms resolved, and he was able to resume walking without a cane 4 weeks after surgery. CONCLUSIONS: Pre-operative diagnosis of posterior epidural migration of herniated thoracic disc based on magnetic resonance imaging alone may be overlooked, given the rarity of this pathology. However, this entity should be considered among the differential diagnoses for an enhancing posterior thoracic extradural mass. BioMed Central 2013-02-12 /pmc/articles/PMC3582544/ /pubmed/23402642 http://dx.doi.org/10.1186/1752-1947-7-41 Text en Copyright ©2013 Miyakoshi et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Miyakoshi, Naohisa
Hongo, Michio
Kasukawa, Yuji
Ishikawa, Yoshinori
Shimada, Yoichi
Posteriorly migrated thoracic disc herniation: a case report
title Posteriorly migrated thoracic disc herniation: a case report
title_full Posteriorly migrated thoracic disc herniation: a case report
title_fullStr Posteriorly migrated thoracic disc herniation: a case report
title_full_unstemmed Posteriorly migrated thoracic disc herniation: a case report
title_short Posteriorly migrated thoracic disc herniation: a case report
title_sort posteriorly migrated thoracic disc herniation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3582544/
https://www.ncbi.nlm.nih.gov/pubmed/23402642
http://dx.doi.org/10.1186/1752-1947-7-41
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