Diário da Espinha

Occult Thoracic Spinal Stenosis: A Case Report and Literature Review

Abstract

Hongda Xu, Jun Miao, Jianqiang Bai, Jidong Zhang and Qun Xi

Background context: “Occult” thoracic spinal stenosis refers to the lack of the typical manifestations, it easily lead to clinical misdiagnosis and missed diagnosis. No previous case of “Occult” thoracic spinal stenosis with tuberculosis in L5/S1 has been reported.

Purpose: To highlight the exactly diagnosis of occult thoracic spinal stenosis accompanying lumbar disease.

Study design: This is a case report of “Occult” thoracic spinal stenosis with tuberculosis in L5/S1.

Methods: Clinical examination, magnetic resonance imaging, CT and surgical resection.

Results: After thoracic surgery, low back pain and leg pain of the patient relieved markedly and anti-tuberculosis medications were continued for lumber pathology. On 12 months follow-up, her JOA score increased from 9 preoperatively to 10 postoperatively. Neurological function recovery rate was 100%.

Conclusions: The “Occult” thoracic spinal stenosis can lead only lower motor neuron dysfunction; more attention should be given, especially accompanying lumbar disease.