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Acta Neurochirurgica

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Open Access 04.06.2020 | Case Report - Spine degenerative

Bilateral thoracic disc herniation with abdominal wall paresis: a case report

verfasst von: Vicki Marie Butenschoen, Lisa Hoenikl, Marcus Deschauer, Bernhard Meyer, Jens Gempt

Erschienen in: Acta Neurochirurgica | Ausgabe 9/2020

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Abstract

We present a rare case of a patient initially presenting with unilateral abdominal wall bulging and radicular pain caused by a lateral disc herniation at Th11/12, later suffering from a hernia recurrence with bilateral disc prolapse and motor deficits. The patient underwent sequesterectomy via a right hemilaminectomy at Th11, and after 8 weeks, a bilateral sequesterectomy with semirigid fusion Th11/12 was performed. Unilateral motor deficits at the thoracic level have been discussed in case reports; a bilateral disc protrusion with abdominal wall bulging occurring as a recurrent disc herniation has never been described before.

Baranto A, Börjesson M, Danielsson B, Hellström M, Swärd L (2009) Acute chest pain in a top soccer player due to thoracic disc herniation. Spine (Phila Pa 1976) 34:E359–E362. https://doi.org/10.1097/BRS.0b013e3181a16d41CrossRef

Court C, Mansour E, Bouthors C (2018) Thoracic disc herniation: surgical treatment. Orthop Traumatol Surg Res 104:S31–S40. https://doi.org/10.1016/j.otsr.2017.04.022CrossRefPubMed

Dakwar E, Le TV, Baaj AA, Le AX, Smith WD, Akbarnia BA, Uribe JS (2011) Abdominal wall paresis as a complication of minimally invasive lateral transpsoas interbody fusion. Neurosurg Focus 31:E18. https://doi.org/10.3171/2011.7.FOCUS11164CrossRefPubMed

Dower A, Chatterji R, Swart A, Winder MJ (2016) Surgical management of recurrent lumbar disc herniation and the role of fusion. J Clin Neurosci 23:44–50. https://doi.org/10.1016/j.jocn.2015.04.024CrossRefPubMed

Drazin D, Ugiliweneza B, Al-Khouja L, Yang D, Johnson P, Kim T, Boakye M (2016) Treatment of recurrent disc herniation: a systematic review. Cureus 8:e622. https://doi.org/10.7759/cureus.622CrossRefPubMedPubMedCentral

Fjeld OR, Grøvle L, Helgeland J, Småstuen MC, Solberg TK, Zwart JA, Grotle M (2019) Complications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases of lumbar disc herniation. Bone Joint J 101-B:470–477. https://doi.org/10.1302/0301-620X.101B4.BJJ-2018-1184.R1CrossRefPubMed

Hott JS, Feiz-Erfan I, Kenny K, Dickman CA (2005) Surgical management of giant herniated thoracic discs: analysis of 20 cases. J Neurosurg Spine 3:191–197. https://doi.org/10.3171/spi.2005.3.3.0191CrossRefPubMed

Kang J, Chang Z, Huang W, Yu X (2018) The posterior approach operation to treat thoracolumbar disc herniation: a minimal 2-year follow-up study. Medicine 97:e0458. https://doi.org/10.1097/md.0000000000010458CrossRefPubMedPubMedCentral

LaBan MM, Gorin G (2007) A thoracic disc herniation presenting as an abdominal hernia. Am J Phys Med Rehabil 86:601. https://doi.org/10.1097/PHM.0b013e31806dd497CrossRefPubMed

10.

Lempert T, Skotzek B (1988) Abdominal wall paresis in thoracic diabetic neuropathy. Nervenarzt 59:48–49PubMed

11.

Li W, Liu Y-C, Zheng C-F, Miao J, Chen H, Quan H-Y, Yan S-H, Zhang K (2018) Diagnosis of compressed nerve root in lumbar disc herniation patients by surface electromyography. Orthop Surg 10:47–55. https://doi.org/10.1111/os.12362CrossRefPubMedPubMedCentral

12.

Meyer F, Feldmann H, Töppich H, Celiker A (1991) Unilateral paralysis of the abdominal wall musculature caused by thoracic intervertebral disk displacement. Zentralbl Neurochir 52:137–139PubMed

13.

Oitment C, Kwok D, Steyn C (2019) Calcified thoracic disc herniations in the elderly: revisiting the laminectomy for single level disease. Global Spine J 9:527–531. https://doi.org/10.1177/2192568218806274CrossRefPubMed

14.

Oppenlander ME, Clark JC, Kalyvas J, Dickman CA (2013) Surgical management and clinical outcomes of multiple-level symptomatic herniated thoracic discs. J Neurosurg Spine 19:774–783. https://doi.org/10.3171/2013.8.SPINE121041CrossRefPubMed

15.

Ozturk C, Tezer M, Sirvanci M, Sarier M, Aydogan M, Hamzaoglu A (2006) Far lateral thoracic disc herniation presenting with flank pain. Spine J 6:201–203. https://doi.org/10.1016/j.spinee.2005.08.004CrossRefPubMed

16.

Quint U, Bordon G, Preissl I, Sanner C, Rosenthal D (2012) Thoracoscopic treatment for single level symptomatic thoracic disc herniation: a prospective followed cohort study in a group of 167 consecutive cases. Eur Spine J 21:637–645. https://doi.org/10.1007/s00586-011-2103-0CrossRefPubMed

17.

Reynolds JM, Belvadi YS, Kane AG, Poulopoulos M (2014) Thoracic disc herniation leads to anterior spinal artery syndrome demonstrated by diffusion-weighted magnetic resonance imaging (DWI): a case report and literature review. Spine J 14:e17–e22. https://doi.org/10.1016/j.spinee.2013.10.050CrossRefPubMed

18.

Santiago-Perez S, Nevado-Estevez R, Perez-Conde MC (2012) Herpes zoster-induced abdominal wall paresis: neurophysiological examination in this unusual complication. J Neurol Sci 312:177–179. https://doi.org/10.1016/j.jns.2011.08.035CrossRefPubMed

19.

Shepard N, Cho W (2019) Recurrent lumbar disc herniation: a review. Global spine journal 9:202–209. https://doi.org/10.1177/2192568217745063CrossRefPubMed

20.

Stetkarova I, Chrobok J, Ehler E, Kofler M (2007) Segmental abdominal wall paresis caused by lateral low thoracic disc herniation. Spine (Phila Pa 1976) 32:E635–E639. https://doi.org/10.1097/BRS.0b013e3181573ce5CrossRef

21.

Telfeian AE, Jasper GP, Oyelese AA, Gokaslan ZL (2016) Technical considerations in transforaminal endoscopic spine surgery at the thoracolumbar junction: report of 3 cases. Neurosurg Focus 40:E9. https://doi.org/10.3171/2015.10.FOCUS15372CrossRefPubMed

22.

van Ramshorst GH, Kleinrensink GJ, Hermans JJ, Terkivatan T, Lange JF (2009) Abdominal wall paresis as a complication of laparoscopic surgery. Hernia 13:539–543. https://doi.org/10.1007/s10029-009-0473-6CrossRefPubMedPubMedCentral

23.

Wagner R, Telfeian AE, Iprenburg M, Krzok G, Gokaslan Z, Choi DB, Pucci FG, Oyelese A (2016) Transforaminal endoscopic foraminoplasty and discectomy for the treatment of a thoracic disc herniation. World Neurosurg 90:194–198. https://doi.org/10.1016/j.wneu.2016.02.086CrossRefPubMed

24.

Yi S, Kim SH, Shin HC, Kim KN, Yoon DH (2007) Outcome of surgery for a symptomatic herniated thoracic disc in relation to preoperative characteristics of the disc. Acta Neurochir 149:1139–1145; discussion 1145. https://doi.org/10.1007/s00701-007-1287-xCrossRefPubMed

25.

Zambelis T, Polydorou A, Anagnostou E, Angourakis P, Vassilopoulou S (2018) Unusual presentation of thoracic disc herniation. Br J Neurosurg:1–2. https://doi.org/10.1080/02688697.2018.1466996

Titel: Bilateral thoracic disc herniation with abdominal wall paresis: a case report
verfasst von: Vicki Marie Butenschoen
Lisa Hoenikl
Marcus Deschauer
Bernhard Meyer
Jens Gempt
Publikationsdatum: 04.06.2020
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 9/2020
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-020-04431-5

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