Thoracic Disk Herniation Manifesting as Sciatica-Like Pain  -Two Case Reports-

Cho, Hyung-Lea; Lee, Sang-Ho; Kim, Jin-Sung

doi:10.2176/nmc.51.67

Cited by 15 publications

(8 citation statements)

References 9 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From our review of the medical literature in this respect, we conclude that in most cases, symptomatic TDP has a mild to moderate clinical impact, producing thoracic or abdominal pain, sensory disturbances 37 , 38 and, less frequently, myelopathy and weakness of the lower limbs. 39 Other gastrointestinal, urologic and cardiopulmonary symptoms have also been described.…”

Section: Discussionmentioning

confidence: 92%

Chronic Abdominal Syndrome Due to Nervous Compression. Study of 100 Cases and Proposed Diagnostic-Therapeutic Algorithm

Lara¹,

Quesada²,

Ramiro³

et al. 2015

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

ObjectiveIn the medical literature, thoracic disc protrusion has traditionally been considered a rare occurrence. We hypothesise that the incidence of such protrusions and their abdominal symptoms is higher than is generally believed and that their presence may account for a significant proportion of chronic non-visceral abdominal pains. Accordingly, the present study was designed to identify and quantify the symptoms experienced by patients with thoracic disc protrusion and to assess the relative risk of these symptoms being presented, compared to the general population.DesignWe conducted a cross-sectional study with a control group. The following comparison groups were analysed: case group, consisting of 100 patients diagnosed with thoracic disc protrusion in our hospital between February 2007 and October 2012, and control group consisting of 100 subjects from the general population, chosen at random. To compare the symptoms observed in each group, the following tests were applied to all study subjects: clinical examination, gastrointestinal-related quality of life (GIQLI) questionnaire and DN4 questionnaire. We also reviewed the subjects’ medical records for the previous 3 years.ResultsThe subjects in the case group had a significantly higher incidence of digestive-urologic symptoms, a poorer gastrointestinal quality of life and greater need of medical care than those in the control group. The differences were statistically significant for all the parameters studied. Almost all the case group subjects suffered chronic abdominal pain and/or digestive-urologic symptoms. We term this group of symptoms “chronic abdominal syndrome due to nervous compression”. Nevertheless, in most cases, no neurologic aetiology was suspected, and therefore the treatment given was ineffective. In view of the results obtained, we propose a diagnostic-therapeutic algorithm for such patients.ConclusionThoracic disc protrusion, as well as having a non-negligible incidence, is often associated with a digestive-urologic clinical syndrome, and this factor should be taken into account in all cases of chronic abdominal pain and other digestive-urologic symptoms when standard tests are negative, so that appropriate treatment may be given.

show abstract

Section: Discussionmentioning

confidence: 92%

Chronic Abdominal Syndrome Due to Nervous Compression. Study of 100 Cases and Proposed Diagnostic-Therapeutic Algorithm

Lara¹,

Quesada²,

Ramiro³

et al. 2015

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

show abstract

“…However, HDT can cause inflammatory affectation of the nerve root and posterior cords, thus giving rise to severe chest or abdominal discomfort. [16][17][18][19] In consequence, many of these patients present (as reported previously) [15] a prolonged clinical situation, with pain in the back (90%), abdomen (77%), or other locations (pubis 43%, genital area 35%, and lower extremities, 66%), always at a considerable level of intensity and frequently accompanied by urological digestive symptoms (95%). These symptoms cause a significant deterioration in the gastrointestinal quality of life and lead patients to be offered a large number of complementary tests, consultations with specialists, and even hospital admission.…”

Section: Discussionmentioning

confidence: 89%

Anatomical Descriptive Study of 337 Thoracic Disc Herniations

Lara¹,

Parrilla²,

Berges³

et al. 2019

Clin J Surg

View full text Add to dashboard Cite

Introduction: Conventionally, thoracic disc herniation has been viewed as a very rare pathology, and the few cases considered were considered to have a very low frequency of symptoms. However, new imaging methods show that the frequency of this pathology is quite high and also that its symptoms are encountered much more frequently than expected (since previously only neurological symptoms were taken into account). In view of these considerations, we conducted an anatomical descriptive study of this circumstance. Methods: A retrospective study was conducted to review all the nuclear magnetic resonance examinations made of the vertebral column at our hospital between October 2009 and October 2013. For this purpose, we selected the cases that presented herniated thoracic disc (HDT) and studied the social factors involved, the anatomical locations and the effects produced on nerve structures. Results: The sample consisted of 165 subjects, 95 men and 70 women, who presented a total of 337 HDT, with an average of 2.042 injuries per patient. We describe the most frequent locations, effects, and relationship to sex and age. Conclusions: We believe it is of interest to determine the anatomical details of this type of herniation, in view of recent knowledge obtained concerning its high frequency and the clinical significance of this information.

show abstract

“…Intradural nerve roots from the lumbar enlargement to conus medullaris follow an organized pattern with most rostral roots being lateral [31]. Therefore, it has been speculated that higher more latter disc herniation could irritate the lower abdominal and pelvis roots and cause nonspecific discomfort.…”

Section: Discussionmentioning

confidence: 99%

Atypical Presentation of Thoracic Disc Herniation: Case Series and Review of the Literature

Shirzadi

Drazin

Jeswani

et al. 2013

Case Reports in Orthopedics

View full text Add to dashboard Cite

Modern imaging has revealed that thoracic disc herniation (TDH) has a prevalence of 11–37% in asymptomatic patients. Pain, sensory disturbances, myelopathy, and lower extremity weakness are the most common presenting symptoms, but other atypical extraspinal complaints, such as gastrointestinal or cardiopulmonary discomfort, may be reported. Our objective is to make providers familiar with TDH's atypical symptoms to help avoid potential serious consequences created by a delay in diagnosis. We report the cases of two patients who each presented with atypical extraspinal symptoms secondary to a TDH. One patient presented with a chronic history of nausea, emesis, and chest tightness and MRI showed a large right paramedian disc herniation at T7-8. A second patient reported chronic constipation, buttock and leg burning pain, gait instability, and urinary frequency; an MRI of his thoracic spine demonstrated a central disc herniation at T10-11. TDH can present with vague extraspinal symptoms and unfamiliarity with these symptoms can lead to misdiagnosis with progression of the disease and unnecessary diagnostic tests and medical procedures. Therefore, TDH should be included in the differential diagnosis of patients with negative gastrointestinal, genitourinary, and cardiopulmonary system basic studies.

show abstract

Thoracic Disk Herniation Manifesting as Sciatica-Like Pain -Two Case Reports-

Cited by 15 publications

References 9 publications

Chronic Abdominal Syndrome Due to Nervous Compression. Study of 100 Cases and Proposed Diagnostic-Therapeutic Algorithm

Chronic Abdominal Syndrome Due to Nervous Compression. Study of 100 Cases and Proposed Diagnostic-Therapeutic Algorithm

Anatomical Descriptive Study of 337 Thoracic Disc Herniations

Atypical Presentation of Thoracic Disc Herniation: Case Series and Review of the Literature

Contact Info

Product

Resources

About