Mount Sinai Journal of Medicine - Volume 65, Number 5&6, Page 404

Volume 65 Number 5&6
October/November 1998 back to contents

Two-Level Thoracic Disc Herniation 404

Niels Levi, M.D., And Kjeld Dons, M.D.

From the Department of Neurosurgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Address correspondence to Niels Levi, MD, Vermlandsgade 77, Copenhagen 2300 S, Denmark.

ABSTRACT
We report a rare case of two-level thoracic disc herniation that occurred in a 48-year-old woman. She was referred with a 10-month history of pain on the right side of the thorax. On examination, she had hypoesthesia and hypalgesia in the right T6BT8 dermatomes. An MRI scan revealed a large herniated disc at the T7/8 level and a smaller herniated disc at the T6/7 level. At surgery, the unilateral transpedicular approach was used, and a large prolapse was removed at the T7/8 level. The T6/7 level was decompressed. The patient made an uneventful recovery. Six months after surgery her pain had disappeared, but she still had hypoesthesia in the right T6BT8 dermatomes.

KEY WORDS
Thoracic disc herniations, prolapse, transpedicular surgery

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Volume 65 Number 5&6 October/November 1998	back to contents

Two-Level Thoracic Disc Herniation	404
Niels Levi, M.D., And Kjeld Dons, M.D.
From the Department of Neurosurgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. Address correspondence to Niels Levi, MD, Vermlandsgade 77, Copenhagen 2300 S, Denmark.