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
T2
Axial
T2
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Info

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.

Sagittal
non-contrast
Axial
non-contrast
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Info

CT shows a calcified thoracic disc herniation.

Matterhorn in the Swiss alps

Photograph
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The calcified disc herniation resembles Matterhorn Mountain in Alpes 1.

Photo by Fabrice Villard on Unsplash https://unsplash.com/de/fotos/berg-mit-schnee-bedeckt-QrRSm-QbjW0

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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