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Journal of Korean Neurosurgical Society 1987;16(1): 297-303.
A Case of Thoracic Disc Herniation Treated by Transthoracic Transpleural Approach.
Myung Sik Kim, Il Woo Lee, Tae Hoon Jo, Jin Un Song, Chi Kyung Kim
Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.
Thoracic disc herniation is uncommon and only represents 0.25% to 0.75% of all symptomatic disc lesions. The difficulty in diagnosis has been the one of the major problems in the treatment of thoracic disc herniation. But at now, the use of computed tomography with or without water soluble contrast media makes the diagnosis more acurate. Recently, we diagnosed a case of T4, T5 disc herniation by computed tomography with iopamidol. Operation by transthoracic, transpleural approach was done with microsurgical technique, and the result was good. The case is reviewed and other surgical techniques on the literature is discussed.
Key Words: Thoracic disc herniation; Computed tomography; Transthoracic transpleural approach central type
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