A Case Report of Silent Cervical Spondylosis with Neck Pain

Zoting, Mayuri; Uttamchandani, Shivani; Deshmukh, Mitushi; Wadhokar, Om C.

doi:10.9734/jpri/2021/v33i48a33244

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…There were no statistically significant variations in subsequent preterm births for histories or ultrasounds that indicated cerclage. [19][20][21] Globally, 26 million children under the age of 1 died in 2016, with 35% of those deaths being related to premature birth. As a result, preventing and treating preterm births are crucial for lowering the rate of infant fatalities.…”

Section: Discussionmentioning

confidence: 99%

A Clinical Case Report on Cervical Cerclage

2022

pnr

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Background: A common surgical treatment performed during pregnancy is cervical cerclage. It entails placing a suture (stitch) across the womb's neck (cervix), to provide the cervix with mechanical support and lower the risk of preterm birth. This procedure's electiveness and safety are still debatable. Presentation of the case the author presented a 30-year-old female who came to the tertiary hospital with a chief complaint of Amenorrhea, Nausea, and Vomiting in the last 6 Months. The patient had a history of infertility for 2 years, and they have taken infertility treatment in tertiary care hospital. Mechanical dilatation was done. Cervical dilatation 4.5cm. Cervical encerclage done. After 2 weeks USG report showed a bicornuate uterus single intrauterine fetus with absent cardiac Activity and fetal movement, average gestational age of 18 weeks 4 days, and corresponding to weight OF 249gms S/O fetal demise. After that abortus delivery was done under all aseptic precautions, a male abortus was delivered by Vertex presentation. The baby did not after birth. The baby did not show any signs of life after birth. The cord was clamped and the cut Placenta was delivered with intact membranes and cotyledons. Pack inserted, Uterine cavity exposed for clots and tears. Blood loss is minimal. Pack removed. 200 GMS of placenta delivered with intact membranes and cotyledons. APGAR-0/10, 0/10, No Cry. Baby and placenta sent for HPE. Histopathology reports are awaited. She received treatment Inj C-Tax 1 Gm For 5 Days, Inj pan 40 mg 5 days, Inj doxy iv 2 days, Inj Emset 4 cc 2 days, tab Duvad 10 mg 3 days, Tab Ecosprine 150 mg 6 days, Tab Labet 100 mg days, Tab Dolo 650 mg 3 days, Tab Iron OD days, Tab calcium days, Protein powder 2tsp 4 days. After that patient was discharged and advised to the client's high protein diet, adequate fluids, not lifting heavy weight, not sitting cross legs for 1 month, and perineal hygiene. Tab Iron Od 3 Months, Tab calcium od months, protein powder 2 tsp 3 months.

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Section: Discussionmentioning

confidence: 99%

A Clinical Case Report on Cervical Cerclage

2022

pnr

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“…Symptoms are headache, weakness in the arms, numbness in shoulders, arms, or hands, trouble with balance, etc. Treatment includes physical therapy, nonsteroidal antirheumatic drugs (NSAID) and muscle relaxant [1] . Subclavian artery occlusion is an underdiagnosed disease because it is usually asymptomatic and when it progresses and symptoms appear, it is misdiagnosed as a musculoskeletal or neurological disease [2] .…”

Section: Introductionmentioning

confidence: 99%

Misdiagnosis of Cervicobrachial Syndrome With Subocclusion of the Left Subclavian Artery

Georgiev,

Nikolovski,

Kalpak

et al. 2023

AMJ

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Introduction: Cervical spondylosis (degenerative osteoarthritis) and subclavian occlusion, mostly caused by atherosclerosis, share similar symptoms. Both are diseases of the advanced age. Thus, there are similarities of overlapping or misdiagnosis of both diseases.The aim of this case report was to present diagnosis and treatment of subclavian subocclusion and possibility of misdiagnosis with cervicobrachial syndrome.Case report: We present the case of a 71-year-old woman with noncontrolled hypertension. For many years she complained of occasional pains and tingling in her neck, left shoulder, and hand, coolness in the fingers of the left hand, headache and occasionally dizziness. An x-ray finding of the cervical spine was in favor of spondyloarthrosis on the neck vertebrae, and after consulting an orthopedic specialist, she was diagnosed and treated as cervicobrachial syndrome for many years without success. Cardiology examination detected different high blood pressure readings in both arms and that induced us to perform a computerized angiography (CT). CT showed subocclusion on the left subclavian artery after which our patient underwent angiography and stent implantation. After the procedure, the blood pressure difference decreased and the symptoms disappeared.Conclusion: Due to similar symptoms, whenever cervicobrachial syndrome is diagnosed, the blood pressures in both arms should be measured. In case of their difference, subclavian stenosis should also be considered and appropriate investigations should be made, especially if the difference in pressures is high.

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“…In most cases, there is pre-existing asymptomatic damage to anterior horn cells leading to severe postoperative C5 palsy. Hence, it is important to be alert to possible postoperative complications so that prompt and early identification and management can be ensured [4,5].…”

Section: Introductionmentioning

confidence: 99%

C5 Nerve Root Palsy: An Uncommon Postoperative Complication and Its Management

Seth¹,

Joshi²,

Phansopkar³

2022

Cureus

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The standard treatment for multiple levels of cervical prolapsed intervertebral disk (PIVD) is anterior cervical decompression and fusion. Although it is associated with positive outcomes, it is also fraught with complications. In this report, we present an unusual postoperative case of a 58-year-old male who underwent anterior decompression and cervical fusion at two levels -C4-C5 and C5-C6 -for traumatic PIVD and developed a postoperative complication of unilateral C5 motor palsy, making it difficult for the patient to elevate the shoulder. This postoperative complication had no known cause, but it could be iatrogenic or due to structural variation. There is sparse research on possible ways to avoid this complication. Physiotherapy management is critical in improving the patient's functional recovery. The neck and upper extremity functional measure scale and Neurogenic Claudication Outcome Score (NCOS) scale were used for measuring outcomes. The patient also had a two-year history of tingling and numbness in both lower extremities, which was treated conservatively. The difficulties that physiotherapists encounter in managing this uncommon postoperative complication in addition to the lumbar PIVD make it unique. The key to a better prognosis is early detection and management.

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A Case Report of Silent Cervical Spondylosis with Neck Pain

Cited by 3 publications

References 12 publications

A Clinical Case Report on Cervical Cerclage

A Clinical Case Report on Cervical Cerclage

Misdiagnosis of Cervicobrachial Syndrome With Subocclusion of the Left Subclavian Artery

C5 Nerve Root Palsy: An Uncommon Postoperative Complication and Its Management

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