Open AccessBilateral thoracic disc herniation with abdominal wall paresis: a case report
Author(s) -
Vicki M. Butenschöen,
Lisa Hoenikl,
Marcus Deschauer,
Bernhard Meyer
Publication year - 2020
Publication title -
acta neurochirurgica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.742
H-Index - 95
eISSN - 0942-0940
pISSN - 0001-6268
DOI - 10.1007/s00701-020-04431-5
Subject(s) - medicine , hernia , paresis , neurosurgery , neuroradiology , disc herniation , surgery , interventional radiology , neurology , intervertebral disc , abdominal wall , degenerative disc disease , anatomy , lumbar , psychiatry
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.