Journal article
High Thoracic Disc Herniation Causing Horner Syndrome with the Intraoperative Finding of Conjoined Nerve Root Compression: A Case Report
JBJS case connector, v 7(1), pp e4-e4
2017
PMID: 29244686
Abstract
Case:
A 29-year-old man presented with right medial arm pain with paresthesia, as well as right-sided ptosis, miosis, and anhidrosis. Magnetic resonance imaging revealed a right paracentral disc herniation at the T1-T2 level. The patient underwent a hemilaminectomy with a medial facetectomy through a posterolateral approach to the T1-T2 disc space, followed by a discectomy. Intraoperative findings were notable for a conjoined nerve root.
Conclusion:
Although high thoracic disc herniation is rare, its diagnosis should be considered when patients present with radicular arm pain and Horner syndrome. A high index of suspicion should be maintained for nerve root anomalies to limit iatrogenic injury and to ensure successful decompression.
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3 citations in Scopus
Details
- Title
- High Thoracic Disc Herniation Causing Horner Syndrome with the Intraoperative Finding of Conjoined Nerve Root Compression
- Creators
- Amit K. Bhandutia - Allegheny General HospitalZachary Zuzek - Drexel UniversityMatthew J. Schessler - Allegheny General HospitalNestor D. Tomycz - Allegheny General HospitalDaniel T. Altman - Allegheny General Hospital
- Publication Details
- JBJS case connector, v 7(1), pp e4-e4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Orthopedic/Orthopaedic Surgery
- Scopus ID
- 2-s2.0-85015666343
- Other Identifier
- 991021897306004721