THORACIC DISC HERNIATION WITH MYELOPATHY: A DIAGNOSTIC CHALLENGE. CASE REPORT AND REVIEW OF THE LITERATURE
Abstract:
Thoracic disc herniations are uncommon as a cause of spinal cord compression causing
myelopathy. Pain, sensory disturbances, myelopathy and lower extremity weakness are the most common
presenting symptoms, but other atypical extra-spinal complaints, such as gastrointestinal or
cardiopulmonary discomfort may be reported. We present a case of a 60-year old female who was
admitted in our department for a 6-month history of lower back pain, gait instability and weakness,
constipation, and urinary frequency. A thoracic spine Magnetic Resonance Imaging showed a disc
herniation at the T10-11 level with compression of the spinal cord with myelomalacia changes at that
level. Because of the chronic evolution of the disease, the surgical intervention does not improve the gait
and the strength in legs.
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