Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Discogenic Abdominal Pain

  • Choi, Seok-Min (Department of Neurosurgery, Spine Center, Myongji St. Mary's Hospital) ;
  • Lee, Sang-Ho (Department of Neurosurgery, Gimpo Airport Wooridul Spine Hospital)
  • Published : 2005.11.28
Download PDF
⟨ Previous Next ⟩

Abstract

There have been several reports about abdominal pain due to discitis in children or thoracic disc herniation. However, none of them could verify causal relationship between disc disease and abdominal pain clearly. The authors report a patient with discogenic abdominal pain who had disc degeneration at lower lumbar level without definite protrusion or any evidence of inflammation. We could reproduce the abdominal pain by using discography. The patient was treated by percutaneous disc decompression successfully.

Keywords

References

  1. Bogduk N : The innervation of the lumbar spine. Spine 8 : 286- 293, 1983 https://doi.org/10.1097/00007632-198304000-00009
  2. Derby R, Howard MW, Grant JM, Lettice JJ, Van Peteghem PK, Ryan DP : The ability of pressure-controlled discography to predict surgical and nonsurgical outcomes. Spine 24 : 364-371, 1999 https://doi.org/10.1097/00007632-199902150-00014
  3. Knight MT, Ellison DR, Goswami A, Hiller VF : Review of safety in endoscopic laser foraminoplasty for the management of back pain. J Clin Laser Med Surg 19 : 147-157, 2001 https://doi.org/10.1089/10445470152927982
  4. Leahy AL, Fogarty EE, Fitzgerald RJ, Regan BF : Discitis as a cause of abdominal pain in children. Surgery 95 : 412-414, 1984
  5. Nakamura S, Takahashi K, Takahashi Y, Morinaga T, Shimada Y, Moriya H : Origin of nerves supplying the posterior portion of lumbar intervertebral discs in rats. Spine 21 : 917-924, 1996 https://doi.org/10.1097/00007632-199604150-00003
  6. Nakamura SI, Takahashi K, Takahashi Y, Yamagata M, Moriya H : The afferent pathways of discogenic low-back pain. Evaluation of L2 spinal nerve infiltration. J Bone Joint Surg 78B : 606-612, 1996
  7. Shin DA, Kong MH, Chin DK, Cho YE, Yoon DH, Kim YS : Acute cauda equina syndrome secondary to lumbar disc herniation. J Korean Neurosurg Soc 32 : 200-203, 2002
  8. Tahmouresie A : Herniated thoracic intervertebral disc-an unusual presentation : case report. Neurosurgery 7 : 623-625,1980 https://doi.org/10.1227/00006123-198012000-00019
  9. Takahashi Y, Hirayama J, Nakajima Y, Ohtori S, Takahashi K : Electrical stimulation of the rat lumbar spine induces reflex action potentials in the nerves to the lower abdomen. Spine 25 : 411-417, 2000 https://doi.org/10.1097/00007632-200002150-00004
  10. Takahashi Y, Morinaga T, Nakamura S, Suseki K, Takahashi K, Nakajima Y : Neural connection between the ventral portion of the lumbar intervertebral disc and the groin skin. J Neurosurg 85 : 323-328, 1996 https://doi.org/10.3171/jns.1996.85.2.0323
  11. Weinstein J, Claverie W, Gibson S : The pain of discography. Spine 13 : 1344-1348, 1988 https://doi.org/10.1097/00007632-198812000-00002
  12. Wong-Chung JK, Naseeb SA, Kaneker SG, Aradi AJ : Anterior disc protrusion as a cause for abdominal symptoms in childhood discitis. A case report. Spine 24 : 918-920,1999 https://doi.org/10.1097/00007632-199905010-00016
  13. Zdeblick TA : Discogenic back pain in Herkowitz HN, Garfin SR, Balderston RA (eds) : Rothman-Simeone The Spine, ed 4. Philadelphia : WB Saunders, 1999, Vol 1, pp749-765