Magnetic resonance image findings and surgical considerations in T1-2 disc herniation.

OBJECTIVE

To report a case of disc herniation at T1-2.

CLINICAL PRESENTATION: A 57-year-old man presented with hand weakness, Horner's syndrome, and pain radiating along the medial aspect of one upper extremity. Magnetic resonance imaging demonstrated extruded T1-2 disc herniation with upward herniation of a sequestrated fragment.

INTERVENTION: An anterior approach was used to excise the disc, that was compressing the spinal cord and the T1 nerve root. All the patient's symptoms resolved completely, including Horner's syndrome.

CONCLUSION

Anterior discectomy may be the simplest and most effective method for disc excision and relief of spinal cord and T1 nerve root compression.