Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report

Abstract Background Clinically significant disc herniations in the thoracic spine are rare accounting for approximately 1% of all disc herniations. In patients with significant spinal cord compression, presenting symptoms typically include ambulatory dysfunction, lower extremity weakness, lower extr...

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Autores principales:	Tyler D. Alexander, Anthony Stefanelli, Sara Thalheimer, Joshua E. Heller
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Thoracic disc herniation Myelopathy Sleep apnea Allodynia Medicine R
Acceso en línea:	https://doaj.org/article/600587ee08514f6a842babaccc85b82b
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spelling	oai:doaj.org-article:600587ee08514f6a842babaccc85b82b2021-11-14T12:44:36ZSleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report10.1186/s41606-021-00067-12398-2683https://doaj.org/article/600587ee08514f6a842babaccc85b82b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s41606-021-00067-1https://doaj.org/toc/2398-2683Abstract Background Clinically significant disc herniations in the thoracic spine are rare accounting for approximately 1% of all disc herniations. In patients with significant spinal cord compression, presenting symptoms typically include ambulatory dysfunction, lower extremity weakness, lower extremity sensory changes, as well as bowl, bladder, or sexual dysfunction. Thoracic disc herniations can also present with thoracic radiculopathy including midback pain and radiating pain wrapping around the chest or abdomen. The association between thoracic disc herniation with cord compression and sleep apnea is not well described. Case presentation The following is a case of a young male patient with high grade spinal cord compression at T7-8, as a result of a large thoracic disc herniation. The patient presented with complaints of upper and lower extremity unilateral allodynia and sleep apnea. Diagnosis was only made once the patient manifested more common symptoms of thoracic stenosis including left lower extremity weakness and sexual dysfunction. Following decompression and fusion the patient’s allodynia and sleep apnea quickly resolved. Conclusions Thoracic disc herniations can present atypically with sleep apnea. We recommend taking into consideration that sleep symptoms may resolve when planning treatment for thoracic disc herniation.Tyler D. AlexanderAnthony StefanelliSara ThalheimerJoshua E. HellerBMCarticleThoracic disc herniationMyelopathySleep apneaAllodyniaMedicineRENSleep Science and Practice, Vol 5, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Thoracic disc herniation Myelopathy Sleep apnea Allodynia Medicine R
spellingShingle	Thoracic disc herniation Myelopathy Sleep apnea Allodynia Medicine R Tyler D. Alexander Anthony Stefanelli Sara Thalheimer Joshua E. Heller Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report
description	Abstract Background Clinically significant disc herniations in the thoracic spine are rare accounting for approximately 1% of all disc herniations. In patients with significant spinal cord compression, presenting symptoms typically include ambulatory dysfunction, lower extremity weakness, lower extremity sensory changes, as well as bowl, bladder, or sexual dysfunction. Thoracic disc herniations can also present with thoracic radiculopathy including midback pain and radiating pain wrapping around the chest or abdomen. The association between thoracic disc herniation with cord compression and sleep apnea is not well described. Case presentation The following is a case of a young male patient with high grade spinal cord compression at T7-8, as a result of a large thoracic disc herniation. The patient presented with complaints of upper and lower extremity unilateral allodynia and sleep apnea. Diagnosis was only made once the patient manifested more common symptoms of thoracic stenosis including left lower extremity weakness and sexual dysfunction. Following decompression and fusion the patient’s allodynia and sleep apnea quickly resolved. Conclusions Thoracic disc herniations can present atypically with sleep apnea. We recommend taking into consideration that sleep symptoms may resolve when planning treatment for thoracic disc herniation.
format	article
author	Tyler D. Alexander Anthony Stefanelli Sara Thalheimer Joshua E. Heller
author_facet	Tyler D. Alexander Anthony Stefanelli Sara Thalheimer Joshua E. Heller
author_sort	Tyler D. Alexander
title	Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report
title_short	Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report
title_full	Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report
title_fullStr	Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report
title_full_unstemmed	Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report
title_sort	sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/600587ee08514f6a842babaccc85b82b
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Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report

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