Journal
NEUROLOGIA MEDICO-CHIRURGICA
Volume 51, Issue 1, Pages 67-71Publisher
JAPAN NEUROSURGICAL SOC
DOI: 10.2176/nmc.51.67
Keywords
thoracic disk herniation; sciatica-like pain; neurological examination
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Funding
- Wooridul Spine Hospital
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Two patients presented with sciatica-like pain caused by thoracic disk herniation. Sciatica-like pain was the initial and major symptom in both patients, but careful neurological examination showed vague signs of upper motor neuron disturbance, and thoracic magnetic resonance (MR) imaging revealed disk herniations at the mid-thoracic level. After video-assisted thoracoscopic discectomy, the pain was completely improved. Thorough neurological examination and MR imagery of the thoracic spine, and if needed, even the cervical spine, are required if lumbar image findings do not correlate with the symptoms or physical examination.
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