Differential Diagnosis for Thoracic Spinal Cord 30% Compression from Herniation Symptoms
Single Most Likely Diagnosis
- Herniated Thoracic Disc: This is the most likely diagnosis given the symptoms of thoracic spinal cord compression from herniation. The herniated disc can compress the spinal cord, leading to various symptoms such as pain, numbness, and weakness.
Other Likely Diagnoses
- Thoracic Spinal Stenosis: This condition involves narrowing of the spinal canal in the thoracic region, which can compress the spinal cord and cause similar symptoms.
- Thoracic Spondylosis: This condition involves wear and tear on the spinal discs and joints in the thoracic region, which can lead to compression of the spinal cord.
- Osteoporotic Compression Fracture: A compression fracture of the thoracic spine can cause compression of the spinal cord, especially in individuals with osteoporosis.
Do Not Miss Diagnoses
- Spinal Epidural Abscess: This is a serious infection that can compress the spinal cord and cause severe symptoms, including paralysis and loss of bladder and bowel function. It is essential to diagnose and treat this condition promptly to prevent long-term damage.
- Spinal Tumor: A tumor in the thoracic spine can compress the spinal cord and cause symptoms similar to those of a herniated disc. It is crucial to rule out a tumor to ensure proper treatment.
- Traumatic Spinal Cord Injury: A traumatic injury to the thoracic spine can cause compression of the spinal cord, and it is essential to diagnose and treat this condition promptly to prevent long-term damage.
Rare Diagnoses
- Arachnoiditis: This is a rare condition characterized by inflammation of the arachnoid membrane surrounding the spinal cord, which can cause compression of the spinal cord and lead to symptoms such as pain and numbness.
- Spinal Hematoma: A hematoma in the thoracic spine can compress the spinal cord and cause symptoms similar to those of a herniated disc. This condition is rare but can be serious if not diagnosed and treated promptly.