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Case Reports
. 2008 May;43(5):239-41.
doi: 10.3340/jkns.2008.43.5.239. Epub 2008 May 20.

Posterior epidural migration of thoracic disc fragment

Affiliations
Case Reports

Posterior epidural migration of thoracic disc fragment

Il Sup Kim et al. J Korean Neurosurg Soc. 2008 May.

Abstract

Migration of a disc fragment to the posterior epidural space is rare, especially in the thoracic spine. Only four such cases of posterior epidural migration of thoracic disc fragments have been reported. The authors report a case of 66-year-old man who presented with back pain and right leg weakness due to posterior epidural migration of thoracic disc fragment. The patient was successfully treated by laminectomy and partial facetectomy with disc removal.

Keywords: Magnetic resonance imaging; Migration; Posterior epidural space; Thoracic disc herniation.

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Figures

Fig. 1
Fig. 1
A : Left Sagittal gadolinium-enhanced T1-weighted magnetic resonance image (MRI) of thoracic spine revealing a mass lesion with increased signal at the posterior extradural space at the T10-11 level. B : Axial gadolinium-enhanced T1-weighted MRI at T10-11 disc level showing a rim enhancement of the posterior extradural disc material, compressing the dura, and combined right subarticular disc extrusion with thecal sac indentation.
Fig. 2
Fig. 2
Intraoperative photograph showing the posterior extradural migrated disc fragment (asterisk), which is tightly adherent to thecal sac and communicated with lateral soft disc.

References

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