Horner's syndrome secondary to intervertebral disc herniation at the level of T1–2

Spacey, Kate; Khazim, Rabi; Dannawi, Zaher

doi:10.1136/bcr-2014-204820

Cited by 7 publications

(22 citation statements)

References 2 publications

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“…Gille et al [8] 2006 Female 55 Radiculopathy Left Anterior suprasternal approach+discectomy 26 Kanno et al [14] 2009 Male 57 Radiculopathy Right Laminectomy+medial facetectomy 27 Keachi et al [15] 2010 Female 52 Myeloradiculopathy Central Anterior suprasternal approach+Arthroplasty 28 Bransford et al [4] 2010 Male 67 Myelopathy central Bilateral pedicle sparing+instrumentation 29 Son et al [32] 2012 Male 37 Radiculopathy Left Laminectomy-foraminotomy 30 Kuzma et al [17] 2013 Male 23 Radiculopathy Left Laminectomy-foraminotomy 31 Spacey et al [33] 2014 Female 54 Radiculopathy Left Conservative 32…”

Section: Resultsmentioning

confidence: 99%

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2019

Surg Neurol Int

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Background: Symptomatic T1-T2 disc herniations are rare and, in most cases, are located posterolaterally. Posterior approaches may utilize transfacet pedicle-sparing techniques, while the less frequent central/anterolateral discs may warrant anterior surgery.Case Description: Here, we reviewed four cases of symptomatic T1-T2 disc herniations; two patients were paraparetic due to central discs and underwent anterior surgery utilizing a cage construct. e latter two cases had posterolateral discs contributing to a Brown-Sequard syndrome and radiculopathy, respectively; one patient required a transfacet pediclesparing procedure, while the second case was managed conservatively. All surgically treated patients recovered fully. Conclusions:We reviewed 4 cervical T1-T2 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. Follow-up magnetic resonance studies documented full resolution for the patient with radiculopathy and a posterolateral disc.

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Section: Resultsmentioning

confidence: 99%

“…e first reported case was in 1945; since then, only 31 additional cases have been published. [1,2,4,5,7,8,[11][12][13][14][15]17,18,25,26,29,32,33,[35][36][37] T1-T2 disc herniation can present with either radiculopathy or myelopathy.…”

Section: Introductionmentioning

confidence: 99%

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2019

Surg Neurol Int

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“…We added our cases (four cases) of T1–T2 disc herniations to those 32 cases found in the literature. [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 23–72 years of age) [Table 2]. Most T1–T2 discs were posterolateral in location (25 cases); only 11 were purely central or centrolateral.…”

Section: Discussionmentioning

confidence: 99%

“…The first reported case was in 1945; since then, only 31 additional cases have been published. [1,2,4,5,7,8,11-15,17,18,25,26,29,32,33,35-37] T1–T2 disc herniation can present with either radiculopathy or myelopathy.…”

Section: Introductionmentioning

confidence: 99%

T1–T2 disc herniation: Report of four cases and review of the literature

Rahimizadeh

Zohrevand

Kabir

et al. 2019

Surgical Neurology International

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Background: Symptomatic T1–T2 disc herniations are rare and, in most cases, are located posterolaterally. Posterior approaches may utilize transfacet pedicle-sparing techniques, while the less frequent central/anterolateral discs may warrant anterior surgery. Case Description: Here, we reviewed four cases of symptomatic T1–T2 disc herniations; two patients were paraparetic due to central discs and underwent anterior surgery utilizing a cage construct. The latter two cases had posterolateral discs contributing to a Brown-Sequard syndrome and radiculopathy, respectively; one patient required a transfacet pedicle-sparing procedure, while the second case was managed conservatively. All surgically treated patients recovered fully. Conclusions: We reviewed 4 cervical T1–T2 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. Follow-up magnetic resonance studies documented full resolution for the patient with radiculopathy and a posterolateral disc.

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“…Guest et al [6] described paraplegia resulting from occlusion of the anterior spinal artery by central TDH. Disc herniation at the T1–2 level may cause Horner syndrome, along with T1 dermatome pain [7].…”

Section: Epidemiology and Clinical Featuresmentioning

confidence: 99%

A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations

Sharma

Kim

2019

Neurospine

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Thoracic disc herniation (TDH) is a rare, but technically challenging, disorder. Apart from their unfamiliarity with this condition, surgeons are often posed with challenges regarding the diverse methods available to address TDH, the neurological disturbances accompanying the disorder, the prospect of iatrogenic cord damage during surgical procedures, and the complications associated with various surgical approaches. In today’s era, when minimally invasive surgery has been incorporated into almost every aspect of managing spine disorders, it is necessary for surgeons to be aware of the various minimally invasive techniques available for the management of these rare and difficult conditions. In this review article, we provide a synopsis of the epidemiology, clinical features, and technical aspects of TDH, starting from level identification to intraoperative neuromonitoring and including important steps and guidance for all the minimally invasive approaches to TDH. We conclude the review by providing insights into the clinical decision-making process and outline the specific aspects of “giant” thoracic discs and indications for fusion in certain conditions. Outcomes of minimally invasive surgery for these conditions are generally favorable. The location of herniation is an important factor for surgical planning.

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Horner's syndrome secondary to intervertebral disc herniation at the level of T1–2

Cited by 7 publications

References 2 publications

Untitled

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T1–T2 disc herniation: Report of four cases and review of the literature

A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations

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