2017
DOI: 10.2106/jbjs.cc.16.00106
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High Thoracic Disc Herniation Causing Horner Syndrome with the Intraoperative Finding of Conjoined Nerve Root Compression

Abstract: 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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Cited by 3 publications
(13 citation statements)
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“…Horner syndrome also can be a complication of spinal pathology and/or surgery. Recently, it has been reported as a presentation of a high thoracic disc herniation 10 , and also may occur after anterior cervical spine surgery due to an intraoperative lesion of the cervical sympathetic trunk (CST). Although seen as a minor complication, it can cause relevant concern because blepharoptosis can be disfiguring and can cause visual-field impairment.…”
mentioning
confidence: 99%
“…Horner syndrome also can be a complication of spinal pathology and/or surgery. Recently, it has been reported as a presentation of a high thoracic disc herniation 10 , and also may occur after anterior cervical spine surgery due to an intraoperative lesion of the cervical sympathetic trunk (CST). Although seen as a minor complication, it can cause relevant concern because blepharoptosis can be disfiguring and can cause visual-field impairment.…”
mentioning
confidence: 99%
“…Bhandutia et al [5] anhidrosis was not seen in our case is unknown. is could be due to incomplete disruption of the sympathetic pathway at the T1 foramen.…”
Section: Total Recoverymentioning
confidence: 54%
“…[24,26] e uncommonness of this condition is probably due to the relative stability of the vertebral column at this level. [17] Horner's syndrome in association with T1-T2 IVDP [5,6,11,[13][14][15]20,23,25,27,28] has only been rarely reported. e oculosympathetic pathway consists of central, preganglionic, and postganglionic neurons with two relay centers, the ciliospinal center of Budge and the superior cervical ganglion.…”
Section: Discussionmentioning
confidence: 99%
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