Horner’s syndrome secondary to T1-T2 intervertebral disc prolapse

Abstract

Background: T1-T2 intervertebral disc prolapse (IVDP) is a rare clinical condition. Horner’s syndrome is an extremely rare clinical finding in these patients. Case Description: A 56-year-old man presented with the left C8 T1 radiculopathy, left hand grip weakness, and ipsilateral Horner’s syndrome. Magnetic resonance imaging of the spine showed a contrast-enhancing lesion in the left T1 foramen compressing the left T1 nerve root. He underwent left T1 hemilaminectomy, upper half of left T2 hemilaminectomy and removal of the left foraminal lesion. A biopsy of the lesion was sent for histopathological diagnosis which revealed tissue consistent with disc material. Postoperatively, he had near-complete recovery with residual minimal Horner’s syndrome. Conclusion: T1-T2 IVDP should be considered in the differential diagnosis when a patient presents with C8 T1 radiculopathy and Horner’s syndrome.

Dorsalgia e Ptose Palpebral: Um Caso Raro de Síndrome de Horner

“…Uma revisão recente da literatura sugere que os sintomas de mais frequentes na apresentação de casos idênticos relatados são dor escapular, dor toráxica, radiculopatia, compromisso da sensibilidade e fraqueza dos músculos intrínsecos da mão. 6 Como foi sublinhado, a propósito de um outro caso recentemente relatado, os doentes com queixas de radiculopatia cervical e achados sugestivos de uma síndroma de Horner devem ser avaliados com um exame RM que inclua a coluna dorsal alta. 7…”

Diagnosis and treatment of HS after endoscopic thyroid surgery: case report and brief literature review

“…The oculosympathetic nerve pathway consists of three-order neurons originating from the hypothalamus. The first-order neuron descends along the axon to the lower cervical or upper thoracic spinal cord at approximately the C8, T1, and T2 levels ( 10 ). The second-order neuron arises from the spinal cord nucleus and its axon ascends to the superior cervical ganglion near the bifurcation of the common carotid artery.…”