Thoracic disc herniation clinical features

Most common symptoms: pain (60%), sensory changes (23%), motor changes (18%). With thoracic radiculopathy, pain and sensory disturbance is in a band-like distribution radiating anteriorly and inferiorly along the involved root’s dermatome. Motor involvement is difficult to document.

see Thoracic discogenic pain syndrome

see Pain in thoracic disc herniation.


A 57 year- old man with lateral abdominal wall bulging. MRI showed thoracic disk herniation at the T11-T12 level. Needle electromyogram disclosed acute denervation in paraspinal and abdominal muscles innervated from thoracic spinal nerve 11. Eight months later the swelling was reduced significantly. Thoracic disc herniations are rare and three similar cases have been described previously 1).


1)
Zambelis T, Polydorou A, Anagnostou E, Angourakis P, Vassilopoulou S. Unusual presentation of thoracic disc herniation. Br J Neurosurg. 2018 Apr 24:1-2. doi: 10.1080/02688697.2018.1466996. [Epub ahead of print] PubMed PMID: 29688067.
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