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1978. However, it is most common in men between the ages of 40 and 60. Where. Hammon WM. [ 15 ] Patients with thoracic discs typically present with neck pain (i.e. This clinical condition can commonly be a consequence of cervical sympathetic chain injury, which runs along the lateral aspect of the vertebral body. Herniated thoracic discs can cause paralysis. 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. routine T1 and T2 sequences were used to study the status of the endplate (1.5-T Optima GEM MRI, GE Healthcare, Buck- . In this article, we reviewed these 32 prior cases of T1T2 disc herniations and added our four cases. T1T2 myelopathy and/or radiculopathy, magnetic resonance (MR) localization (anterior/anterolateral/lateral posterior), and optimal surgical management. A very subtle ptosis and miosis remained. A disc herniation is a significant cause or contributor of neck pain. MRI provides the diagnosis. Well tell you how, why, and what you can do to treat a thoracic herniated disc if you have one and prevent them in the future. He is an M.D. Micheli LJ, Hood RW: Anterior exposure of the cervicothoracic spine using a combined cervical and thoracic approach. Unable to load your collection due to an error, Unable to load your delegates due to an error. Learn more by subscribing now. Arts MP, Bartels RH: Anterior or posterior approach of thoracic disc herniation? Pedicle Marrow Signal Hyperintensity on Short Tau Inversion Recovery Herniated Disc Symptoms & More - FREE MRI Review (c) Axial T2-weighted MRI shows a hyperintense disc on the left side. All rights reserved. (a) T2-weighted sagittal magnetic resonance imaging (MRI) shows T1T2 disc herniation. (f) Postoperative T1-weighted MRI, at 3-year follow-up, note clearance of the cord. Bulge is a term for an image and can be a normal variant . Generally speaking, most neurosurgeons will advise against surgery if you are not experiencing pain or symptoms. T2-3 Thoracic disc herniation with myelopathy - PubMed An accurate diagnosis and timely surgical intervention may provide the patient the best chance for regression of symptoms and a satisfactory outcome. Sympathetic fibers in the posterolateral hypothalamus pass through the lateral brain stem and synapse at the ciliospinal Center of Budge in the intermediolateral gray substance of the spinal cord at C8 to T2. A cervical herniated disc may cause a number of symptoms in different parts of the body. As we all know there are only few chances of the disc problems in dorsal spine, because this area is fixed in comparison to the cervical spine and lumbar spine.