Images in Neurology |

Thoracal Radiculopathy Owing to Disc Herniation

Brynhildur Hafsteinsdottir, MD; Elias Olafsson, MD, PhD
Arch Neurol. 2012;69(8):1080-1081. doi:10.1001/archneurol.2012.15.
Text Size: A A A
Published online


A sharp nonradiating pain suddenly developed in the right flank of a 59-year-old man. The pain lasted 3 hours, then disappeared completely. The next day, he noticed bulging of his right flank, with corresponding decreased sensibility. An abdominal wall herniation was suspected but abdominal ultrasound and computerized tomography were normal. The symptoms persisted, and he was seen by a neurologist 2 weeks after onset of the symptoms. Physical examination revealed a circumscribed right flank bulging, measuring 5 × 10 cm (Figure 1), with diminished sensibility to pain, touch, and temperature. Cerebrospinal fluid examination and fasting blood glucose results were within normal limits. Magnetic resonance imaging showed herniation and fragmentation of the T11-12 intervertebral disc (Figure 2). He was treated conservatively. On follow-up 4 months later, the bulging had diminished and the sensory disturbance was almost gone, causing him no discomfort.  

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours


Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Physical examination revealed noticeable bulging of the right flank.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. Axial magnetic resonance image view showing herniation and fragmentation of the Th11-Th12 intervertebral disc (arrow). R indicates right.




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles