scholarly journals Endogenous-Lesioned Cervical Disc Herniation: A Retrospective Review of 9 Cases

2011 ◽  
Vol 96 (4) ◽  
pp. 363-370
Author(s):  
Zifeng Zhang ◽  
Yushu Bai ◽  
Tiesheng Hou
Keyword(s):  
Surgical Treatment ◽  
Disc Herniation ◽  
Clinical Presentation ◽  
Cervical Spinal Cord ◽  
Surgical Decompression ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Uneventful Recovery ◽  
Pathogenic Mechanisms ◽  
External Trauma

Abstract The purpose of this study was to analyze the pathogenic mechanisms, clinical presentation, and surgical treatment of cervical disc herniation without external trauma. Between 2004 and 2008, 9 patients with cervical disc herniation and no antecedent history of trauma were diagnosed with cervical disc herniation and underwent surgical decompression. Pathogenic mechanisms, clinical presentation, surgical treatment, and prognosis were analyzed retrospectively. In 6 patients, herniation resulted from excessive neck motion rather than from external trauma. An injury from this source is termed an endogenous-lesioned injury. Patients exhibited neurologic symptoms of compression of the cervical spinal cord or nerve roots. In the other 3 patients, no clear cause for the herniation was recorded, but all patients had a desk job with long periods of head-down neck flexion posture. After surgery, all patients experienced a reduction in their symptoms and an uneventful recovery. Cervical disc herniation can occur in the absence of trauma. Surgical decompression is effective at reducing symptoms in these patients, similar to other patients with cervical disc herniation. Surgical treatment may be considered for this disorder when the herniation becomes symptomatic.

scholarly journals Paraplegia after Gastrectomy in a Patient with Cervical Disc Herniation: A Case Report and Review of Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Qingfu Zhang ◽  
Wei Jiang ◽  
Quanhong Zhou ◽  
Guangyan Wang ◽  
Linlin Zhao
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Postoperative Complication ◽  
Disc Herniation ◽  
Surgical Decompression ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Review Of Literature ◽  
History Of ◽  
Acute Paraplegia

Paraplegia is a rare postoperative complication. We present a case of acute paraplegia after elective gastrectomy surgery because of cervical disc herniation. The 73-year-old man has the medical history of cervical spondylitis with only symptom of temporary pain in neck and shoulder. Although the patient’s neck was cautiously preserved by using the Discopo, an acute paraplegia emerged at about 10 hours after the operation. Severe compression of the spinal cord by herniation of the C4-C5 cervical disc was diagnosed and emergency surgical decompression was performed immediately. Unfortunately the patient showed limited improvement in neurologic deficits even after 11 months.

scholarly journals Sudden Quadriplegia after Acute Cervical Disc Herniation

2005 ◽  
Vol 32 (3) ◽  
pp. 356-358 ◽  
Author(s):  
Venkatraman Sadanand ◽  
Michael Kelly ◽  
George Varughese ◽  
Daryl R. Fourney
Keyword(s):  
Disc Herniation ◽  
Spinal Canal ◽  
Imaging Study ◽  
Spinal Canal Stenosis ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Canal Stenosis ◽  
History Of ◽  
External Trauma ◽  
Acute Neurological Deterioration

ABSTRACT:Background:Acute neurological deterioration secondary to cervical disc herniation not related to external trauma is very rare, with only six published reports to date. In most cases, acute symptoms were due to progression of disc herniation in the presence of pre-existing spinal canal stenosis.Case report:A 42-year-old man developed weakness and numbness in his arms and legs immediately following a sneeze. On physical examination he had upper motor neuron signs that progressed over a few hours to a complete C5 quadriplegia. An emergent magnetic resonance imaging study revealed a massive C4/5 disc herniation. He underwent emergency anterior cervical discectomy and fusion. Postoperatively, the patient remained quadriplegic. Eighteen days later, while receiving rehabilitation therapy, he expired secondary to a pulmonary embolus. Autopsy confirmed complete surgical decompression of the spinal cord.Conclusions:Our case demonstrates that acute quadriplegia secondary to cervical disc herniation may occur without a history of myelopathy or spinal canal stenosis after an event as benign as a sneeze.

scholarly journals Self Manipulated Cervical Spine Leads to Posterior Disc Herniation and Spinal Stenosis

2019 ◽  
Vol 9 (6) ◽  
pp. 125 ◽  
Author(s):  
Wyatt McGilvery ◽  
Marc Eastin ◽  
Anish Sen ◽  
Maciej Witkos
Keyword(s):  
Emergency Department ◽  
Neck Pain ◽  
Spinal Stenosis ◽  
Disc Herniation ◽  
Spinal Manipulation ◽  
Cervical Spinal Cord ◽  
Cervical Vertebrae ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Manipulation Therapy

The authors report a case in which a 38-year-old male who presented himself to the emergency department with a chief complaint of cervical neck pain and paresthesia radiating from the right pectoral region down his distal right arm following self-manipulation of the patient’s own cervical vertebrae. Initial emergency department imaging via cervical x-ray and magnetic resonance imaging (MRI) without contrast revealed no cervical fractures; however, there was evidence of an acute cervical disc herniation (C3–C7) with severe herniation and spinal stenosis located at C5–C6. Immediate discectomy at C5–C6 and anterior arthrodesis was conducted in order to decompress the cervical spinal cord. Acute traumatic cervical disc herniation is rare in comparison to disc herniation due to the chronic degradation of the posterior annulus fibrosus and nucleus pulposus. Traumatic cervical hernias usually arise due to a very large external force causing hyperflexion or hyperextension of the cervical vertebrae. However, there have been reports of cervical injury arising from cervical spinal manipulation therapy (SMT) where a licensed professional applies a rotary force component. This can be concerning, considering that 12 million Americans receive SMT annually (Powell, F.C.; Hanigan, W.C.; Olivero, W.C. A risk/benefit analysis of spinal manipulation therapy for relief of lumbar or cervical pain. Neurosurgery 1993, 33, 73–79.). This case study involved an individual who was able to apply enough rotary force to his own cervical vertebrae, causing severe neurological damage requiring surgical intervention. Individuals with neck pain should be advised of the complications of SMT, and provided with alternative treatment methods, especially if one is willing to self manipulate.

scholarly journals A Rare Case of Near Complete Regression of a Large Cervical Disc Herniation without Any Intervention Demonstrated on MRI

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Parag Suresh Mahajan ◽  
Nawal M. Al Moosawi ◽  
Islam Ali Hasan
Keyword(s):  
Surgical Treatment ◽  
Intervertebral Disc ◽  
Disc Herniation ◽  
Rare Case ◽  
Spontaneous Regression ◽  
Interesting Case ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Complete Regression

There are very few reported cases of regression of large cervical disc herniation without any intervention—the so-called spontaneous regression, demonstrated using MRI. We report a rare and interesting case of MRI that demonstrated near complete regression of a large herniated cervical intervertebral disc, without any surgical treatment.

Surgical Treatment of Cervical Disc Herniation

1995 ◽  
Vol 30 (3) ◽  
pp. 545 ◽  
Author(s):  
Byung Jik Kim ◽  
Han Suk Ko ◽  
Jeong Gook Seo ◽  
Suk Kyu Choo ◽  
Jin Hwan Kim
Keyword(s):  
Surgical Treatment ◽  
Disc Herniation ◽  
Cervical Disc Herniation ◽  
Cervical Disc

scholarly journals Spontaneous Healing of Brown-Sequard Syndrome Caused by Cervical Disc Herniation

10.29007/4srb ◽  
2019 ◽  
Author(s):  
Xiaoyun Liu ◽  
Hongzhi Hu ◽  
Zhengwu Shao ◽  
Mao Xie
Keyword(s):  
Surgical Treatment ◽  
Disc Herniation ◽  
Rare Case ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Complete Disappearance ◽  
Spontaneous Healing ◽  
Spinal Neoplasm ◽  
Brown Sequard Syndrome

Brown-Sequard syndrome (BSS) is most commonly seen in patients with spinal trauma and extramedullary spinal neoplasm. Pure BSS caused by cervical disc herniation is extremely rare. Operative treatment is generally recommended those patients with BSS to improve neurological function. Here, we report a rare case of spontaneous healing of BSS caused by cervical disc herniation. Two years follow-up showed complete disappearance of symptoms without recurrence. To our knowledge, no similar cases have been reported before. Therefore, for appropriate patients, conservative treatment can be considered for a few months before deciding on surgical treatment.

scholarly journals An Evaluation of the Quality of Sleep Before and After Surgical Treatment of Patients with Cervical Disc Herniation

2018 ◽  
Vol 61 (5) ◽  
pp. 600-607 ◽  
Author(s):  
Mustafa Ogden ◽  
Mehmet Hüseyin Akgul ◽  
Ulas Yuksel ◽  
Bulent Bakar ◽  
Kagan Kamasak ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Disc Herniation ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Quality Of Sleep ◽  
Before And After

Cervical brucellar spondylodiscitis mimicking a cervical disc herniation with epidural abscess: a case report

2014 ◽  
Vol 0 (0) ◽  
Author(s):  
Ahmet Aslan ◽  
Ünal Kurtoğlu ◽  
Mustafa Özgür Akça ◽  
Sinan Tan ◽  
Uğur Soylu ◽  
...  
Keyword(s):  
Case Report ◽  
Disc Herniation ◽  
Epidural Abscess ◽  
Cervical Disc Herniation ◽  
Cervical Disc
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