Protrusion of the first thoracic disk

A case of lateral prolapse of the T-1/T-2 intervertebral disk is presented. The patient complained of pain radiating down the medial aspect of the forearm into the little and ring fingers. This was associated with a subjective sensory loss in the same distribution, intact reflexes, and no long tract...

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Bibliographic Details
Published in:	Surgical neurology Vol. 35; no. 4; p. 329
Main Authors:	Hamlyn, P J, Zeital, T, King, T T
Format:	Journal Article
Language:	English
Published:	United States 01-04-1991
Subjects:	Aged Female Humans Intervertebral Disc Displacement - diagnostic imaging Intervertebral Disc Displacement - surgery Thoracic Vertebrae - diagnostic imaging Tomography, X-Ray Computed
Online Access:	Get more information
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Summary:	A case of lateral prolapse of the T-1/T-2 intervertebral disk is presented. The patient complained of pain radiating down the medial aspect of the forearm into the little and ring fingers. This was associated with a subjective sensory loss in the same distribution, intact reflexes, and no long tract signs. Oculosympathetic paralysis was not present. Twelve cases have been mentioned in the literature, only eight of which contain details of the neurological findings. The varied findings in these cases are also reviewed, and it is noted that unless radiological examination includes the upper thoracic spine in cases of brachial neuralgia, these lesions will be missed.
ISSN:	0090-3019
DOI:	10.1016/0090-3019(91)90015-2