Posteriorly migrated thoracic disc herniation: a case report
<p>Abstract</p> <p>Introduction</p> <p>Posterior epidural migration of thoracic disc herniation is extremely rare but may occur in the same manner as in the lumbar spine.</p> <p>Case presentation</p> <p>A 53-year-old Japanese man experienced sudd...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2013-02-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://www.jmedicalcasereports.com/content/7/1/41 |
| _version_ | 1819088960754810880 |
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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 | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Posterior epidural migration of thoracic disc herniation is extremely rare but may occur in the same manner as in the lumbar spine.</p> <p>Case presentation</p> <p>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.</p> <p>Conclusions</p> <p>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.</p> |
| first_indexed | 2024-12-21T22:00:21Z |
| format | Article |
| id | doaj.art-594e814b6e5d4b589c69d4f318e18771 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-21T22:00:21Z |
| publishDate | 2013-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-594e814b6e5d4b589c69d4f318e187712022-12-21T18:48:50ZengBMCJournal of Medical Case Reports1752-19472013-02-01714110.1186/1752-1947-7-41Posteriorly migrated thoracic disc herniation: a case reportMiyakoshi NaohisaHongo MichioKasukawa YujiIshikawa YoshinoriShimada Yoichi<p>Abstract</p> <p>Introduction</p> <p>Posterior epidural migration of thoracic disc herniation is extremely rare but may occur in the same manner as in the lumbar spine.</p> <p>Case presentation</p> <p>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.</p> <p>Conclusions</p> <p>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.</p>http://www.jmedicalcasereports.com/content/7/1/41Intervertebral disc herniationPosterior migrationThoracic spine |
| spellingShingle | Miyakoshi Naohisa Hongo Michio Kasukawa Yuji Ishikawa Yoshinori Shimada Yoichi Posteriorly migrated thoracic disc herniation: a case report Journal of Medical Case Reports Intervertebral disc herniation Posterior migration Thoracic spine |
| 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 | Intervertebral disc herniation Posterior migration Thoracic spine |
| url | http://www.jmedicalcasereports.com/content/7/1/41 |
| work_keys_str_mv | AT miyakoshinaohisa posteriorlymigratedthoracicdischerniationacasereport AT hongomichio posteriorlymigratedthoracicdischerniationacasereport AT kasukawayuji posteriorlymigratedthoracicdischerniationacasereport AT ishikawayoshinori posteriorlymigratedthoracicdischerniationacasereport AT shimadayoichi posteriorlymigratedthoracicdischerniationacasereport |