Degenerative changes of the spine is the same condition as spinal osteoarthritis, spondylosis and degenerative disk disease. 1 Far less common is C7-T1 or T1-T2 pathology, causing a C8 or T1 radiculopathy, with a prevalence of 6.2% of affected nerve roots in one series. Horner syndrome or oculosympathetic paresis is evident because of interruption of sympathetic nerve supply to the eye, which consists of a 3-neuron pathway. Carousel with three slides shown at a time. 6: s-0036, 29. 7: 189-92, 30. government site. (a) T2-weighted sagittal magnetic resonance imaging (MRI) of the second case showing a hard disc at T1T2 level. Arts MP, Bartels RH: Anterior or posterior approach of thoracic disc herniation? The preganglionic fibers then exit the spinal cord and enter the cervical sympathetic chain. For the former patient, cervicothoracic MRI showed a left centro-laterally disc at the T1T2 level. A 29-year-old surgical resident presented to the emergency department complaining of acute onset left periscapular back pain, along with progressive left medial forearm and fourth and fifth digit numbness with grip weakness of the left hand. . The symptoms are limited, as observed in both patients, to a T1 radiculopathy, to be distinguished from C8 radicopathy. 2001 Nov 15;26(22):E512-8. 28: 322-30, 14. sharing sensitive information, make sure youre on a federal Federal government websites often end in .gov or .mil. 6 Approximately more than 70 . Love JG, Kiefer EJ: Root pain and paraplegia due to protrusions of thoracic intervertebral disks. Would you like email updates of new search results? Nowadays, endoscopic techniques have become increasingly popular and full-endoscopic surgery can be performed in the thoracic spine . 2010;12:22131. Disc herniation; T1T2 disc space; spontaneous resolution; sternal splitting approach; thoracic disc; upper thoracic disc herniation. If there is some deformity behind T1-T2 slip disc than we aim to restore the kyphotic changes. A herniation here may cause pain at the back or chest around the first rib, or pain in the ring and/or pinky fingers. 48: 768-72, 27. MRI provides the diagnosis. A magnetic resonance imaging scan revealed a large focal paracentral herniated disc at the T2-3 level. Horner syndrome with associated T1 weakness and paresthesias is representative of many etiologies (Table 2). As we all know there are only few chances of the disc problems in dorsal spine, because this area is fixed in comparison to the cervical spine and lumbar spine. Conclusion: Adjacent-segment degeneration after cervical spine fusion may rarely occur even at T1-T2, and the unusual symptoms of a T1 . Report of four cases and literature review. Svien HJ, Karavitis AL: Multiple protrusions of intervertebral disks in the upper thoracic region: Report of case. The pain may be centered over the injured disc but may spread to one or both sides of the mid-back. Keywords: Disc herniation, spontaneous resolution, sternal splitting approach, T1T2 disc space, thoracic disc, upper thoracic disc herniation. Spine (Phila Pa 1976). Thanks to the rigidity of the thoracic spine and the size of thoracic vertebrae, a thoracic herniated disc is a lot less likely to happen than a lumbar (lower back) or cervical (neck) herniated disc. Posterior approaches may utilize transfacet pedicle-sparing techniques, while the less frequent central/anterolateral discs may warrant anterior surgery. Correspondence to Dr. Luczak: [emailprotected]. 6: 1-10, 2. J Indiana State Med Assoc. Five percent are found in the thoracic, 3% in the cervical, and 92% in the lumbar region. (g) Post-operative CT AP X-ray: shows the cage in T1T2 disc space. Cervical radiculopathy is a disease process marked by nerve compression from herniated disk material or arthritic bone spurs. 2016. Intervertebral thoracic disk herniation is rare. Doctors order these vertebrae from C1 to C7, starting at the base of the skull and extending downward. AJR Am J Roentgenol 1980;134:184-185. This is disc herniation. High thoracic disc herniation. (b) Sagittal cervical fat saturated MRI shows the same. The T1-T2 interspace is not fully visualized on a cervical MRI; therefore, a thoracic MRI scan can be helpful. This clinical condition can commonly be a consequence of cervical sympathetic chain injury, which runs along the lateral aspect of the vertebral body. (d) Axial T2-weighted axial view also confirms disappearance of the disc. A spine specialist determines if surgery is the best option. The rest of the postganglionic fibers travel along the internal carotid artery and enter the cavernous sinus. FOIA Winter RB, Siebert R. Herniated thoracic disc at T1-T2 with paraparesis. Bransford R, Zhang F, Bellabarba C, Konodi M, Chapman JR. Conclusions: In this condition we work on the posture of the shoulders and neck all together. Morgan H, Abood C. Disc herniation at T1-2. Excruciating pain from cervical (C7/T1) radiculopathy. (f) After placement of peek cage, note brachiocephalic vein at lower border of the scene. Sekhar LN, Jannetta PJ. Careers. Adults, 2019. NCHS Data Brief, Number 415,July 2021, July 2021. We focused on the clinical presentation, e.g. It is important to understand the symptoms, causes, and treatments for a bulging disc to prevent the condition from worsening. Conclusions:We reviewed 4 cervical T1T2 disc herniations; two central/anterolateral lesions warranting anterior surgical approaches/cages, and 2 lateral discs treated with a posterolateral transfacet, pedicle-sparing procedure and no surgery respectively. Disc Herniation - Statpearls - NCBI Bookshelf. National Library of Medicine, January 18, 2022. Approximately 90% of herniated discs occur at L4-L5 and L5-S1, causing pain in the L5 or S1 nerve that radiates down the sciatic nerve. We present a rare case of a patient with T1-T2 intervertebral disk herniation and Horner syndrome who was treated surgically. Lucas, Jacqueline W, Eric M Connor, and Jonaki Bose. (a) T2-weighted sagittal magnetic resonance imaging (MRI) shows T1T2 disc herniation. Case Description:Here, we reviewed four cases of symptomatic T1T2 disc herniations; two patients were paraparetic due to central discs and underwent anterior surgery utilizing a cage construct. [ 1 , 2 , 4 , 5 , 7 , 8 , 10 - 17 , 21 , 24 - 26 , 29 , 31 - 33 , 35 - 37 ] There were 24 males and 12 females averaging 49.1 years of age (range 2372 years of age) [ Table 2 ]. Contained Discs: The disc has not broken through the outer wall of the intervertebral disc, which means the inner gel-like material remains contained. Patients demographic data and common clinical features of the corresponding location at which they generate. For example, T3 radiculopathy could radiate pain and other symptoms into the chest via the branch of the nerve root that becomes an intercostal nerve traveling along the route between the third and fourth ribs. (d) Axial T2-weighted axial view also confirms disappearance of the disc. Arbit E. A surgical approach through the pedicle to protruded thoracic discs. J Neurosurg Spine. You will not be suddenly and completely paralyzed by a herniated thoracic disc. (f) After placement of a large cage. (b) Axial view showing the central location of the disc. Where. A working differential diagnosis can guide management. (a) T2-weighted sagittal image demonstrating a disc herniation at T1T2 level with considerable cord compression. Your message has been successfully sent to your colleague. Given the neurologic findings on examination, a cervical and thoracic MRI was obtained which revealed T1-T2 left paracentral disk extrusion with mild superior migration and left intraforaminal extension causing moderate left lateral recess stenosis and abutment of the left T1 nerve root (Figure 2). 6: s-0036, 28. In one case, a central disc fragment extended through the dura. We report two cases of exceptional first thoracic disc herniation in a 60-year-old man and a 55-year-old woman. Symptomatic thoracic disc herniation is uncommon and has been estimated to less than 0.75% of all symptomatic spinal disc herniations. T1-T2 Herniation: The T1 spinal nerve is responsible for the ring and pinky fingers and the area around the first rib. and transmitted securely. 1954. If any of the thoracic nerves become inflamed, such as from a thoracic herniated disc or a narrowing of the foramen, thoracic radiculopathy can develop with symptoms of pain, tingling, numbness, and/or weakness radiating along the nerve root. Natalie Evenson MSN, BSN, RN is a health content writer. 2016 May;25 Suppl 1:204-8. doi: 10.1007/s00586-016-4402-y. There will be pain in the front side of Arm Pit. Apply an ice pack or cold compress to the affected area for 15- to 20-minute intervals every two hours. 2010. (a) T2-weighted sagittal image demonstrating a disc herniation at T1T2 level with considerable cord compression. 1998 Jan;88(1):148-50. doi: 10.3171/jns.1998.88.1.0148. They can help rule out other conditions and give you a referral to a specialist. J Neurol Neurosurg Psychiatry. Well tell you how, why, and what you can do to treat a thoracic herniated disc if you have one and prevent them in the future. Posterior approach surgery has most commonly been used for laminectomy and/or foraminotomy.1,5,11-13 Adequate disk access of more central disk herniations may not be accomplished without excessive facet resection leading to hypermobility. Some common signs and symptoms of a cervical herniated disc include: Neck pain. Surgery was done 8 days from the onset of symptoms. 1. Symptomatic Lumbar Disc Herniation MadanMohanSahoo,MSOrth1,SudhirKumarMahapatra,DNBOrth1, Sheetal Kaur, MD1, Jitendra Sarangi, . With age, the soft disks that act as cushions between your spines vertebrae wear down, dry out and/or shrink. Gille O, Razafimahandry HJ, Sderlund C, Gangnet N, Vital JM. Because your thoracic spine is much more rigid and stable, your thoracic spinal area is much less frequently injured than your lumbar and cervical spine. (g) Post-operative CT AP X-ray: shows the cage in T1T2 disc space. A, Right parasagittal T1-, T2-, and STIR-weighted images that demonstrate a discrete fracture line through the pedicles of L4 bilaterally without pedicle marrow signal intensity changes (long arrow) and a less obvious fracture line on T1 images through the L5 pedicle with concomitant type 1 pedicle marrow changes (short arrows). 14. The symptoms of T1-T2 slip disc are- Pain just below the spine of the scapula. This typically breaks down as such: Herniated discs are very common, but they usually occur in the lumbar spine as opposed to the thoracic region. Thoracic Disc Herniation: Surgical Treatment.. Early experience treating thoracic disc herniations using a modified transfacet pedicle-sparing decompression and fusion. Signal . Some research has shown that herniated discs run in families, suggesting that your genes can make it more likely that you will develop a herniated thoracic disc. J Neurosurg Spine. A pinched nerve may cause pain in the back or chest at the first rib, or pain in the ring and/or pinky fingers. Carson J, Gumpert J, Jefferson A. Its not easy figuring out how to sleep with a herniated disc. Love JG, Schorn VG: Thoracic-disk protrusions. (d) Three-dimensional cervical computed tomography (CT) scan shows T1T2 and T3 screw rod fixation on the left side. 11. Mulier S, Debois V. Thoracic disc herniations:Transthoracic, lateral, or posterolateral approach?A review. Calcific discitis with giant thoracic disc herniations in adults. The oculosympathetic pathway then joins the ophthalmic division of the fifth cranial nerve (V1) and travels into the orbit through the superior orbital fissure to provide innervation to the iris dilator muscle and Mueller's muscle; a small smooth muscle in the eyelid responsible for a minor portion of upper lid elevation and lower lid retraction. Data is temporarily unavailable. When the pressure is increasing with the time and jelly starts moving towards the periphery of the disc, it causes several symptoms according the compression on the nerve roots. Gelch MM: Herniated thoracic disc at T1-2 level associated with Horner's syndrome: Case report. A cervical herniated disc may cause a number of symptoms in different parts of the body. 4: 366-7, 25. Epub 2017 Apr 6. This is the T1 nerve root which originates from the T1-T2 region. Because thoracic disc herniation can be caused by an injury, it can affect anyone. Thus if there are some brachial plexus injuries on lower side there will be impact on the same nerve root and its supply too. Before Learn more by subscribing now. This fact is most likely explained by the restricted mobility and facet orientation of the thoracic spine. Nakahara S, Sato T. First thoracic disc herniation with myelopathy. (c) T2-weighted sagittal image shows complete resolution of the disc at 5-month follow-up. by the American Academy of Orthopaedic Surgeons. Luk KD, Cheung KM, Leong JC. Sharan AD, Przybylski GJ, Tartaglino L. Approaching the upper thoracic vertebrae without sternotomy or thoracotomy:A radiographic analysis with clinical application. 92: 715-8, 9. T1-T2 disc herniation should be suspected in patients presenting cervico-brachial medial neuralgia. official website and that any information you provide is encrypted Ayurvedic treatment of T1-T2 slip disc problem also requires the same approach based Panchakarma therapies what we do in other disc problems. Modified anterior approach to the cervicothoracic junction. Shortly after the postganglionic fibers leave the superior cervical ganglion, vasomotor and sudomotor fibers branch off to travel along the external carotid artery to innervate the blood vessels and sweat glands of the face. Please enable it to take advantage of the complete set of features! Preganglionic sympathetic neurons exit the spinal cord and ascend up the carotid sheath to the superior cervical ganglion at the level of the bifurcation of the common carotid artery. Micheli LJ, Hood RW: Anterior exposure of the cervicothoracic spine using a combined cervical and thoracic approach. . Please enable scripts and reload this page. 16. We added our cases (four cases) of T1T2 disc herniations to those 32 cases found in the literature. Unable to load your collection due to an error, Unable to load your delegates due to an error. A herniated thoracic disc is considered giant if it obstructs more than 50% of the central canal of the spine . J Neurosurg 1950;7:62-69. Publication types Case Reports (b) Axial view shows the posterolaterally located disc is on the left side. Pain can radiate in the upper 2nd and 3rd ribs , just below the shoulder joint. Furthermore, more than 75% of thoracic protrusions are located below T8, and only approximately 3% occur at the T1-T2 level, as in our patient. Carr DA, Volkov AA, Rhoiney DL, Setty P, Barrett RJ, Claybrooks R, Bono PL, Tong D, Soo TM. 48: 710-5, 18. A report of five cases. Surgical options will vary based on the size, type, and location of the injury, but the most common are. Both were approached anteriorly with low cervical-suprasternal approaches and accompanied by cage application. He is an M.D. Treating thoracic-disc herniations: Do we always have to go anteriorly? T1 motor root innervates the flexor digitorum superficialis, flexor pollicis longus, flexor pollicis longus, flexor digitorum profundus, lumbricals, interossei, and the pectoralis major. Global Spine J. 1955. official website and that any information you provide is encrypted An MRI showing a herniated thoracic disc compressing the spinal cord.An MRI from the same patient shown above after minimally invasive lateral thoracic discectomy and fusion. Turbo spin-echo T1 and T2-weighted sagittal and turbo spin-echo T2 axial 4 mm sections parallel to the disc spaces were taken. Thoracic disc herniation:Operative approaches and results. However, it is most common in men between the ages of 40 and 60. HHS Vulnerability Disclosure, Help Neurosurgery. C8 and T1 nerve roots compromise both the ulnar and median nerve root; therefore, precise examination of these roots is necessary. 12: 221-31, 5. posterolateral discs) and, in some cases, spontaneously resolved (2 of 36 cases). In this article, we reviewed these 32 prior cases of T1T2 disc herniations and added our four cases. Dermatomal patterns for C8 and T1 radiculopathy can be difficult to discern on examination because they can mimic peripheral nerve pathology such as cubital and/or Guyon tunnel syndrome.7 Motor deficits of C8 compression are reflected as weakness in hand intrinsic muscles, finger flexion, and some finger abduction. If the lower thoracic region is involved, a patient may encounter pain . M51.24 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2017. Tokuhashi Y, Matsuzaki H, Uematsu Y, Oda H. Spine (Phila Pa 1976). J Athl Train. Although posterior approach surgery is most commonly used for laminectomy and/or foraminotomy, successful anterior approaches to upper thoracic lesions are valid as well. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Herniated thoracic discs can cause paralysis. Logue V. Thoracic intervertebral disc prolapse with spinal cord compression. (d) Chest X-ray shows that T1T2 disc is a few mm above the manubrium. Keywords: If youre between the ages of 30 and 50, youre more likely to be affected. The C8 nerve root innervates the extensor indicus and abductor pollicis brevis from the radial and median nerves, respectively, in addition to finger flexion (ulnar nerve). Report of four cases and literature review. (g) Plain CT radiograph showing that the cage is located at bicalvicular line. Horner syndrome or oculosympathetic paresis is caused by interruption of the sympathetic nerve supply to the face and eye that manifests as facial anhidrosis, blepharoptosis, and miosis. Postfixed brachial plexus radiculopathy due to thoracic disc herniation in a collegiate wrestler: a case report. Differentiating motor function from the C8-T1 nerve roots and ulnar nerve pathology can be assessed with motor testing. A comparative cohort of mini-transthoracic versus transpedicular discectomies. 1986. So just go to contact us and send all your reports so that we will be able to guide you in a better way for your problem and Ayurvedic treatment of T1-T2 slip disc problem. 34: 68-77, 7. Can J Neurol Sci. Along with this when we work with pronated shoulders and fixed neck- chances of problem with D1-D2 disc increases in same frequency. 1986;19:44951. Maintaining a healthy weight will put less pressure on the discs and minimizes wear and tear to the spine. 13. National Library of Medicine Before Am J Ophthalmol 1980;90:394-402. Takagi H, Kawaguchi Y, Kanamori M, Abe Y, Kimura T. T1-2 disc herniation following an en bloc cervical laminoplasty. Anterior surgery can be achieved without sternotomy. The main reason behind this is the inappropriate process of ageing. High thoracic disc herniation. The third patient undergoing a transfacet pedicle-sparing left-sided approach had a postoperative three-dimensional computed tomography scans showing adequate root decompression and screw placement screws [Figures 3e and d ]. The presence of an accurate and reproducible radiologic description is essential for the success of any interventional therapy, in addition to disc removal. 11: 499-501, 17. Eur Spine J. This may be evident by sensory disturbances below the level of compression, difficulty with balance and walking, lower extremity weakness, or bowel or bladder dysfunction. Posterior-only approach for the treatment of symptomatic central thoracic disc herniation regardless of calcification: A consecutive case series of 30 cases over five years. 17. Nonsurgical treatments are usually tried first to treat CTJ injuries. Son ES, Lee SH, Park SY, Kim KT, Kang CH, Cho SW. Surgical treatment of t1-2 disc herniation with t1 radiculopathy:A case report with review of the literature. There are many different condition with T1-T2 disc and these are as follows-. Use the Previous and Next buttons to navigate three slides at a time, or the slide dot buttons at the end to jump three slides at a time. At his follow-up appointment, there was no improvement of his symptoms; therefore, the decision was made to intervene surgically given his persistent pain, weakness, and Horner syndrome. Experience with ruptured T1-T2 discs. 8600 Rockville Pike symptoms with longer duration or unrelieved by conservative J Neurosurg. -, Arseni C, Nash F. Thoracic intervertebral disc protrusion:A clinical study. 33. -, Alberico AM, Sahni KS, Hall JA, Jr, Young HF. The T-1 radiculopathy usually involves weakness of the intrinsic muscles of the hand. (e) Intraoperative clearance of the disc space from both hard disc and osteophytes. The goal of surgery is to remove all or part of the herniated disc that is compressing a nerve root. 2013 Sep-Oct;48(5):710-5. doi: 10.4085/1062-6050-48.5.03. So when we provideAyurvedic treatment of T1-T2 slip disc we are careful about providing a proper solution. eCollection 2019. Herniated Disc Symptoms in the Lumbar Spine The most common symptom associated with a herniated disc in the lumbar spine is leg pain (also known as sciatica). 2000. T1-T2 slip disc or disc protrusion is a common word for all these conditions. Approximately 75% of all thoracic disc herniations are seen below T8. i have a t1-2 herniated disc pinching a nerve, possible thoracic outlet. Informed consent to present the data concerning the case for publication was obtained by the patient. Herniated discs affect 5 to 20 per 1000 adults annually. Correlating history, examination, and imaging will guide toward a successful diagnosis. Can J Neurol Sci. These are same. J Neurosurg. There might be some other reasons like- some addiction or something like this, that causes the desiccation of the T1-T2 disc. Background:Symptomatic T1T2 disc herniations are rare and, in most cases, are located posterolaterally. Anterior approach to the cervicothoracic junction by unilateral or bilateral manubriotomy. Med Ann Dist Columbia. The one interesting aspect about a bulge is that it is an MRI finding that can correlate with an annular tear that causes deep midline low back pain. Anterior surgery can be achieved without sternotomy. Kurz LT, Pursel SE, Herkowitz HN. J Neurosurg Spine. Shortly after the postganglionic fibers leave the superior cervical ganglion, vasomotor and sudomotor fibers branch off to travel along external carotid artery to innervate the blood vessels and sweat glands of the face. These all symptoms always confuse before the proper diagnosis of slip disc in D1-D2. 2). BMJ Case Rep. 2014. Stillerman CB, Chen TC, Couldwell WT, Zhang W, Weiss MH: Experience in the surgical management of 82 symptomatic herniated thoracic discs and review of the literature. Avoid lifting, twisting, or straining the back. Neurology. Pain is the most common symptom of a thoracic herniated disc and may be isolated to the upper back or radiate in a dermatomal (single nerve root) pattern. The number one prevention is not smoking. JAMA 1965;191:627-631. Background: A 23-year-old male collegiate wrestler injured his neck in a wrestling tournament match and experienced pain, weakness, and numbness in his left upper extremity. The spurs may cause narrowing of the spinal canal and impinge on the spinal cord. So the treatment is dependent on the following parameters-. Read Also: Attention Deficit Hyperactivity Disorder Symptoms, Neck Pain, Cervical Disc Herniation & Radiculopathy-Everything You Need To Know Dr. Nabil Ebraheim, Herniated Disc Symptoms, (All You Need To Know To Cure), L3 Herniated Disc/Nerve Root Compression Evaluation, Attention Deficit Hyperactivity Disorder Symptoms, Symptoms Of Ovarian Cysts After Hysterectomy, Magnetic resonance imaging is the best tool for observing and diagnosing problems with intervertebral discs, Other Imaging tests, such as X-ray or computed tomography may be used, but are not as accurate as MRI in diagnosing a herniated thoracic disc, Myelography, which involves injecting dye into the space around your spinal cord and taking X-ray or CT images to identify any narrowing in the spinal canal, Medical history to identify any accidents, pre-existing conditions, or trauma that may have caused an injury to your spine, Physical examination to record the type, severity, and location of your pain or other symptoms and draw conclusions about their cause, Sacrum, where the spine connects to the hips. Over-the-counter or prescription meds such as acetaminophen and NSAIDs like ibuprofen are common medicinal treatments. 1998 Jan;88(1):148-50. doi: 10.3171/jns.1998.88.1.0148. Posterior approaches may utilize transfacet pedicle-sparing techniques, while the less frequent central/anterolateral discs may warrant anterior surgery. Lloyd TV, Johnson JC, Paul DJ, Hunt W. Horner's syndrome secondary to herniated disc at T1--T2. (c) T2-weighted sagittal image shows complete resolution of the disc at 5-month follow-up. These symptoms typically follow a pattern as noted above, based on the affected nerve roots location and functions. The patient understand that her name and initial will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Symptomatic T1-T2 disc herniations are rare and, in most cases, are located posterolaterally. J Orthop Sci 2009;14:103-106. Neurosurgery. If we just suppress the pain and associated discomfort due to T1-T2 slip disc, that wont be a permanent solution of the problem. MeSH (i) Postoperative T2-weighted MRI demonstrates the cage in T1T2 interspace. The https:// ensures that you are connecting to the Postoperative MR imaging (MRI) studies in the first two patients showed adequate cord decompression following placement of T1T2 anterior interbody cages [Figures 1 and 2 ]. 2014: 34. (f) Postoperative T1-weighted MRI, at 3-year follow-up, note clearance of the cord. Sebastian . Sometimes, there may be difficulty in breathing if the first rib or rib muscles are injured. (d) Chest X-ray showing that T1T2 disc space is far enough above biclavicular line. T1-T2 disc herniation: Report of four cases and review of the literature. This study can distinguish calcified disk herniations, which may lead to modified treatment strategies and surgical approach.3 The T1 nerve root supplies the ulnar nerve with C8 at a root level, the medial pectoral, medial brachial cutaneous, the medial antebrachial cutaneous nerves at a cord level, and the first intercostal nerve. This is a rarest condition in case of all thoracic discs, but can appear in this reason due to trauma. Oral steroids can also decrease inflammation, which will help alleviate pain. Local MD says he is not fimilar with T1-2. 88: 623-33, 35. (d) Chest X-ray shows that T1T2 disc is a few mm above the manubrium. (g) Plain CT radiograph showing that the cage is located at bicalvicular line. -. Proc Staff Meet Mayo Clin 1954;29:375-378. Spine (Phila Pa 1976). When the inner core of the disc when stops getting proper nutrition, than it starts decaying further. Anto M, Manuel A, Jayachandran A, Thomas SG, Joseph A, Thankachan A, Bahuleyan B. Surg Neurol Int. J Neurosurg Spine. All but five intrinsic hand muscles are innervated by the ulnar nerve; abductor pollicus brevis, flexor pollicis brevis, opponens pollicis, and lateral lumbricals. On which side the compression is more symptoms will be according to that. The four cases of T1T2 discs included two females and two males who ranged in the age group from 36 to 67 years (average: 47 years). Numbness or tingling in areas of one or both legs. It can range from a mild pain that feels tender when touched to a sharp or burning pain. After confirming the diagnosis with MRI, the patient was treated with standard posterior approach with laminoforaminotomy and diskectomy. Clin Neurol Neurosurg. A case of the patient with severe neurological deficits, caused by intradural thoracic disc herniation at T1-T2 interspace, which required surgical treatment and the symptoms were relieved immediately after surgery. Yoon, Wai Weng, and Jonathan Koch. Abbott KH, Retter RH. Myelopathy is rare. An official website of the United States government. Osteoarthritis appeared to be the predominant cause of the disc herniation in both patients. The main symptoms of lumbar disc herniation would radiate based on the location of the disc herniation . Please try again soon. Due to high occurrence of complications from open surgery, minimally invasive approaches are desirable. Possley, Daniel DO; Luczak, S. Brandon MD; Angus, Andrew MD; Montgomery, David MD. Surgical Treatment of T1-2 Disc Herniation with T1 Radiculopathy: A Case Report with Review . At 9 months postoperatively, the patient continued to be pain free with full strength and intact sensation.
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