Document Detail

T1-T2 disc herniation: two cases
MedLine Citation:
PMID:  17124456     Owner:  NLM     Status:  MEDLINE    
We report two cases of exceptional first thoracic disc herniation in a 60-year-old man and a 55-year-old woman. The man was treated surgically and the woman medically. Osteoarthritis appeared to be the predominant cause of the disc herniation in both patients. Unlike the usual calcification in the medioposterior position for middle or lower thoracic spine herniations, a soft posterolateral herniation was observed here. The symptoms are limited, as observed in both patients, to a T1 radiculopathy, to be distinguished from C8 radicopathy. Myelopathy is rare. Claude-Bernard-Horner syndrome is not constant but highly suggestive. Both of these signs were absent in our patients. T1-T2 disc herniation should be suspected in patients presenting cervico-brachial medial neuralgia. MRI provides the diagnosis. Anterior surgery can be achieved without sternotomy. Careful radiographic analysis is needed preoperatively to identify the upper limit of the sternum.
O Gille; H J-C Razafimahandry; C Söderlund; N Gangnet; J-M Vital
Publication Detail:
Type:  Case Reports; English Abstract; Journal Article    
Journal Detail:
Title:  Revue de chirurgie orthopédique et réparatrice de l'appareil moteur     Volume:  92     ISSN:  0035-1040     ISO Abbreviation:  Rev Chir Orthop Reparatrice Appar Mot     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-24     Completed Date:  2007-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1272427     Medline TA:  Rev Chir Orthop Reparatrice Appar Mot     Country:  France    
Other Details:
Languages:  fre     Pagination:  715-8     Citation Subset:  IM    
Service d'Orthopédie et de Traumatologie, Unité de Pathologie Rachidienne, Hôpital Pellegrin-Tripode, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux Cedex.
Vernacular Title:
Hernie discale thoracique T1-T2: à propos de 2 cas.
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MeSH Terms
Intervertebral Disk Displacement* / diagnosis,  therapy
Magnetic Resonance Imaging
Middle Aged
Thoracic Vertebrae*

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