Calcified thoracic disc herniation

Case contributed by Christoph Amadeus Agten
Diagnosis certain

Presentation

Female patient with numbness in both feet and gait problems starting 5 days ago.

Patient Data

Age: 70 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Sagittal T2w image of the thoracic spine. There is a mountain-like hypointense, calcified disc herniation with compression of the dural sac and thoracic spinal cord. The extent of cord compression is better depicted on the transverse (axial) T2w image. The mountain-like appearance of this calcified disc herniation led to the description of the Matterhorn sign.

CT shows a calcified thoracic disc herniation.

The calcified disc herniation resembles Matterhorn Mountain in Alpes 1.

Case Discussion

A calcified thoracic disc herniation Th5/6 is already known for 6 years but has not been treated so far.

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