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Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report
Thoracic disk herniation comprises 0.15% of all disk herniation and has various and confusing manifestations. Among them, radicular pain down the leg could be the rarest presentation, especially if it is the only complaint. On the other hand, finding the relationship between clinical and paraclinica...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Iran University of Medical Sciences
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014753/ https://www.ncbi.nlm.nih.gov/pubmed/29951388 http://dx.doi.org/10.14196/mjiri.31.87 |
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author | Golbakhsh, Mohamadreza Mottaghi, Arash Zarei, Mohamreza |
author_facet | Golbakhsh, Mohamadreza Mottaghi, Arash Zarei, Mohamreza |
author_sort | Golbakhsh, Mohamadreza |
collection | PubMed |
description | Thoracic disk herniation comprises 0.15% of all disk herniation and has various and confusing manifestations. Among them, radicular pain down the leg could be the rarest presentation, especially if it is the only complaint. On the other hand, finding the relationship between clinical and paraclinical needs require high index of suspension and it is demanding. A 34-year-old patient, who had a history of intermittent back pain, with lower thoracic disk herniation presented by acute leg sciatica-like pain, is reported. He suffered 3 weeks of acute back pain prior to admission, which radiated down to buttock and leg, with a vague left abdominal pain, whose clinical examination indicated a distal lumbar problem. MRI showed T-12 L-1 disk herniation. Lower thoracic disc herniation can compress lumbosacral roots immediately after exiting from cord thickening in the lower thoracic area, so they can incite lower lumbar radiculopathy and cause discordance between MRI findings and clinical presentation, suggesting a lumbar problem, and this can lead to delayed diagnosis. However, the acute pain was completely improved after open discectomy. |
format | Online Article Text |
id | pubmed-6014753 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Iran University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-60147532018-06-27 Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report Golbakhsh, Mohamadreza Mottaghi, Arash Zarei, Mohamreza Med J Islam Repub Iran Case Report Thoracic disk herniation comprises 0.15% of all disk herniation and has various and confusing manifestations. Among them, radicular pain down the leg could be the rarest presentation, especially if it is the only complaint. On the other hand, finding the relationship between clinical and paraclinical needs require high index of suspension and it is demanding. A 34-year-old patient, who had a history of intermittent back pain, with lower thoracic disk herniation presented by acute leg sciatica-like pain, is reported. He suffered 3 weeks of acute back pain prior to admission, which radiated down to buttock and leg, with a vague left abdominal pain, whose clinical examination indicated a distal lumbar problem. MRI showed T-12 L-1 disk herniation. Lower thoracic disc herniation can compress lumbosacral roots immediately after exiting from cord thickening in the lower thoracic area, so they can incite lower lumbar radiculopathy and cause discordance between MRI findings and clinical presentation, suggesting a lumbar problem, and this can lead to delayed diagnosis. However, the acute pain was completely improved after open discectomy. Iran University of Medical Sciences 2017-12-16 /pmc/articles/PMC6014753/ /pubmed/29951388 http://dx.doi.org/10.14196/mjiri.31.87 Text en © 2017 Iran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly. |
spellingShingle | Case Report Golbakhsh, Mohamadreza Mottaghi, Arash Zarei, Mohamreza Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report |
title | Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report |
title_full | Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report |
title_fullStr | Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report |
title_full_unstemmed | Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report |
title_short | Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report |
title_sort | lower thoracic disc herniation mimicking lower lumbar disk disease: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014753/ https://www.ncbi.nlm.nih.gov/pubmed/29951388 http://dx.doi.org/10.14196/mjiri.31.87 |
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