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Case Reports
. 2022 Sep 9:13:412.
doi: 10.25259/SNI_580_2022. eCollection 2022.

Horner's syndrome secondary to T1-T2 intervertebral disc prolapse

Mariette Anto  1 , Adarsh Manuel  1 , Akarsh Jayachandran  1 , Santhosh George Thomas  1 , Anu Joseph  1   2 , Anjitha Thankachan  1 , Biji Bahuleyan  1
Affiliations
Case Reports

Horner's syndrome secondary to T1-T2 intervertebral disc prolapse

Mariette Anto et al. Surg Neurol Int. .

Abstract

Background: T1-T2 intervertebral disc prolapse (IVDP) is a rare clinical condition. Horner's syndrome is an extremely rare clinical finding in these patients.

Case description: A 56-year-old man presented with the left C8 T1 radiculopathy, left hand grip weakness, and ipsilateral Horner's syndrome. Magnetic resonance imaging of the spine showed a contrast-enhancing lesion in the left T1 foramen compressing the left T1 nerve root. He underwent left T1 hemilaminectomy, upper half of left T2 hemilaminectomy and removal of the left foraminal lesion. A biopsy of the lesion was sent for histopathological diagnosis which revealed tissue consistent with disc material. Postoperatively, he had near-complete recovery with residual minimal Horner's syndrome.

Conclusion: T1-T2 IVDP should be considered in the differential diagnosis when a patient presents with C8 T1 radiculopathy and Horner's syndrome.

Keywords: Horner’s syndrome; Radiculopathy; Spine; Thoracic disc prolapse.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
(a) Photograph showing ptosis and miosis of the left eye (black arrow), (b) Photograph showing wasting of left forearm muscles (black arrow).
Figure 2:
Figure 2:
(a) T2-weighted sagittal magnetic resonance imaging (MRI) image of the spine showing T1-T2 disc prolapse (white arrow), (b) T2-weighted axial MRI image of the spine showing a lesion at the left T1 foramen (white arrow).
Figure 3:
Figure 3:
(a) Gadolinium-enhanced T1-weighted sagittal magnetic resonance imaging (MRI) image of the spine showing contrast-enhancement around T1-T2 disc space (white arrow), (b) Gadolinium-enhanced T1-weighted axial MRI image of the spine showing a contrast-enhancing lesion at the left T1 foramen (white arrow).
See this image and copyright information in PMC

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