Acute Brown-Sequard syndrome caused by thoracic disc herniation in atypical Scheuermann's disease: a case report

作者：Zan, Chunfang; Yang, Xiaoyu; Wu, Minfei; Jiao, Jianhang; Qu, Yang; Zhang, Shanyong^*

来源：International Journal of Clinical and Experimental Medicine, 2017, 10(8): 12720-12725.

• Brown-Sequard syndrome
• thoracic disc herniation
• scheuermann's disease
• neurological complication
• spinal surgery

Objective: The purpose of this study was to report a rare case with acute progressing Brown-Sequard syndrome due to a soft thoracic disc prolapse in atypical Scheuermann's disease (SD), and discuss its clinical characteristics, current diagnosis and surgical treatment with literature reviews. Methods: A 46-year-old Chinese male patient in good general health was admitted for brutal back pain associated with progressive motor impairments of left extremity and walking disorders, accompanying with fecal and urinary incontinence for 9 hours after the long bus ride. The case was verified by personal history, physical examination, laboratory tests, X-ray, CT and MRI findings. Results: CT scan revealed evident irregularities and Schmorl nodules in thoracic endplate surfaces, anterior wedging in vertebra corpuses (T11-12). MRI images showed severe spinal cord compression due to an anterior lesion of disc protrusion at the T9-10 disc level. The patient underwent discectomy followed by interbody fusion (T8-11), and satisfactory therapeutic outcomes were obtained after three months of surgery. Frankel grades improved from C to D in the patient. Conclusion: Symptomatic thoracic disc herniation (TDH) could be seen as a neurological complication of SD. Early decompression surgery should be carried out as early as possible for patients in atypical Scheuermann's disease with acute spinal myelopathy or paraplegia caused by a protruded disc.

• 出版日期2017
• 单位吉林大学