Thoracic myelopathy of discogenic origin: case report
DOI:
https://doi.org/10.33448/rsd-v11i16.38534Keywords:
Herniated disc; Thoracic; Myelopathy.Abstract
Disc herniation results from degenerative disc disease. This pathological condition of the intervertebral disc is an integral part of the degenerative disease of the spine, in which several elements of the vertebral functional unit in different segments and levels are affected. Among these elements, it is possible to highlight the bone structure, ligaments, joints and intervertebral discs. Thus, the present research aims to describe the case report of a patient with Thoracic Myelopathy, in addition to showing the entire clinical history, from the onset of symptoms, disease evolution, as well as the conduct after imaging diagnosis, symptomatic improvement after surgical approach and the expected result. The case is of a patient complaining of pain and numbness in the lower limbs, which started insidiously and progressively worsened for 8 (months) months, diagnosed with thoracic myelopathy and surgically treated, which allowed a good recovery and a retracted growth. Therefore, the patient evolved well in the postoperative period, with complete recovery of motor and sensory deficits.
References
AMÉRICA, AOSpine Latin America. (s. d.). Guia de Fellowship AOSpine Latin America. Programa De Formação Contínua Ao Spine. https://aosla.com.br/AO/AOSpine/Fellowship/guia_por.pdf
Anand, N., & Regan, J. (15 abr. 2002). Video-assisted thoracoscopic surgery for thoracicdisc disease, classification and outcome study of 100 consecutive cases with a 2-year minimum follow-up period. European Spine Journal, 27(8), 871-879. https://journals.lww.com/spinejournal/Abstract/2002/04150/Video_Assisted_Thoracoscopic_Surgery_for_Thoracic.18.aspx
Arce, C. A., & Dohrmann, G. J. (1985). Herniated thoracic disks. Neurol Clin, 3:383-392. https://www.barrowneuro.org/condition/thoracic-disc-herniation/
Bouthors, C. (2019). Surgical treatment of thoracic disc herniation: an overview. International Orthopaedics, 43:807–816. https://pubmed.ncbi.nlm.nih.gov/30406842/
Co & Merck. (s. d.). Mielografia. Manual MDS, Versão Saúde para a família. https://www.msdmanuals.com/pt-br/casa/multimedia/image/mielografia
Hennemann-Krause, L., & Sredni, S. (2016). Systemic drug therapy for neuropathic pain. Revista Dor, 17(1), 91-94. https://doi.org/10.5935/1806-0013.20160057
Mandell, B. F. (2021). Entendendo os exames complementares e seus resultados. Manual MSD. https://www.msdmanuals.com/pt-br/profissional/t%C3%B3picos-especiais/tomada-de-decis%C3%A3o-cl%C3%ADnica/entendendo-os-exames-complementares-e-seus-resultados
Mcinerney, J., & Ball PA. (out. 2000). The pathophysiology of thoracic disc disease. Neurosurg Focus, 9(4):e1. https://pubmed.ncbi.nlm.nih.gov/16833239/
Medeiros, F. C. (2020). Ressonância magnética da coluna. clínica tirol. https://clinicatirol.com.br/2020/09/RESSONANCIA-MAGNETICA-DA-COLUNA/
Nakagima, H., Watanabe, S. Honjoh, K., Jubota, A., & Matsumine, A. (abr. 2021). Differences in clinical and radiological features of thoracic disc herniation presenting with acute progressive myelopathy. European Spine Journal, 30(4), 829-836. https://pubmed.ncbi.nlm.nih.gov/32507919/
Nascimento, P. R. C. Do, & Costa, L. O. P. (2015). Prevalência da dor lombar no Brasil: uma revisão sistemática. Cad. Saúde Pública. 31(6), 1141-1155. https://www.scielo.br/j/csp/a/bXNZw98SnZTVK9CvDZt4TSg/?format=pdf
Randhawa, P. S., Roarck, C., David, C., & Seinfeld, J. (jul. 2020). Idiopathic Spinal Cord Herniation Associated With a Thoracic Disc Herniation: case Report, surgical Video, and literature review. Clin Spine Surg, 33(6). https://pubmed.ncbi.nlm.nih.gov/32101990/
Ribeiro, R., & Fiore, N. (s. d.). Hérnia de Disco Lombar. Programa de Formação Contínua AOSpine. https://www.aolatam.org/ftp/edudatabase/open-files/aos_da_n1m6t4_ribeiro_prt.pdf
Stillerman, C. B., Chen, T. C., Couldwell, W. T., Zhang, W., & Weiss, M. H. (abr. 1998). Experience in the surgical management of 82 symptomatic herniated thoracic discs and review of the literature. J Neurosurg., 88 (4), 623-33. https://pubmed.ncbi.nlm.nih.gov/9525706/
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