Dergiler / Turkish Neurosurgery / 2019 / Cilt: 29 - Sayı: 6

Traumatic Sequestrated Thoracic Disc Herniation; A Case Report

Sayfa
954–956
DOI
—

Özet

AIM: To present a case (3rd report in the literature, 1st case with sequestrated-extruded disc herniation) of thoracic disc herniationthat was sequestrated only by ligamentous injury without thoracic osseous pathology.MATERIAL and METHODS: We reviewed the diagnosis and treatment of a 25-year-old man presenting with paraplegia after a caraccident.RESULTS: In this case, no pathology was seen on the X-ray and spinal computed tomography (CT), and the paraplegia of thepatient was unexplained in the first examination. Subsequent spinal MRI revealed a T12-L1 cranial-migrated soft disc herniation,which was surgically treated and neurologically recovered within weeks after surgery.CONCLUSION: Traumatic thoracic disc herniations are extremely rare and can be seen without any obvious signs of trauma onX-ray and spinal CT. A spinal MRI scan helps with diagnosis, while rapid surgical treatment (decompression) supports excellentrecovery.