Cervical Intradural Disc Herniation

Iwamura, Yuichi; Onari, Katsuhiro; Kondo, Shu; Inasaka, Riki; Horii, Hiroyuki

doi:10.1097/00007632-200103150-00029

Cited by 34 publications

(24 citation statements)

References 9 publications

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“…As the first three cases of BSS caused by cervical disc herniation reported by Stookey 12 in 1928, we could find only 26 cases of BSS caused by cervical disc herniation in the literature. [1][2][3][5][6][7][8][9][10][11][12][13][14][15][16] (Table 1). Among these 29 cases including ours, there were 20 male subjects and nine female subjects, whose ages ranged from 25-73 years (mean 45.6 years).…”

Section: Discussionmentioning

confidence: 99%

“…6 BSS was observed in 10 of these 17 cases of cervical intradural disc herniation. 11 With respect to the treatment, all patients underwent surgery after diagnosis. Six patients were treated by laminectomy or hemilaminectomy, three patients by anterior discectomy without interbody fusion, 14 patients by anterior discectomy with interbody fusion, two patients by anterior corpectomy and interbody fusion, one patient by anterior discectomy with interbody fusion and laminectomy and our own three patients by anterior foraminotomy.…”

Section: Discussionmentioning

confidence: 99%

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Brown–Sequard syndrome produced by cervical disc herniation with complete neurologic recovery: report of three cases and review of the literature

Kim

2007

Spinal Cord

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Study design: Case report. Objective: To report three cases of Brown-Sequard syndrome (BSS) associated with cervical disc herniation. Method: We describe clinical and radiographic review of three patients who presented with BSS caused by cervical disc herniation. Three patients presented with ipsilateral motor weakness and diminished sensation to pain and temperature on the contralateral side. Magnetic resonance images of the cervical spine in all cases, showed a large paramedian disc herniation at C5-C6, with ipsilateral severe spinal cord compression. Microsurgical removal of the herniated disc via anterior foraminotomy was performed and complete decompression of the spinal cord was achieved. Results: Postoperatively, the neurological symptoms recovered rapidly with a complete remission of their symptoms. Conclusion: Although BSS is rarely associated with degenerative cervical spine disease, cervical disc herniation should be kept in mind and prompt evaluation is indicated. Anterior foraminotomy suffices for spinal cord decompression with improvement of the neurological function.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Brown–Sequard syndrome produced by cervical disc herniation with complete neurologic recovery: report of three cases and review of the literature

Kim

2007

Spinal Cord

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“…Two of the four patients with OPLL had received cervical massage or manipulation and the remaining two patients had had neck pain for several months prior to the onset of paralysis. [23][24][25][26] In addition, other investigators reported several cases of acute myelopathy or paralysis caused by cervical disc herniation, which is also rare. [8][9][10][11] However, there have been no reports of OPLL in the cervical spine causing acute tetraplegia in patients in whom there was no preceding trauma or neurological symptoms, as in the current case.…”

Section: Spinal Cord Infarction With Chronic Compression a Tanida Et Almentioning

confidence: 99%

Spinal cord infarction at the level of ossification of the posterior longitudinal ligament

Tanida

Kamimura

Tanishima

et al. 2016

Spinal Cord Ser Cases

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INTRODUCTION:We report a case of acute tetraplegia, without any trauma or symptoms prior to onset, who presented with ossification of the posterior longitudinal ligament (OPLL) in the cervical spine with concomitant spinal cord infarction. CASE PRESENTATION: A 64-year-old man with a number of risk factors for vascular disease was admitted to our hospital with progressive motor weakness in the bilateral upper and lower extremities. He had initially felt numbness in his left upper extremity and had no previous neurological symptoms or trauma. The night after the initial symptoms, he developed spastic tetraplegia requiring respiratory support. Computed tomography images of the cervical spine demonstrated the segmental type of OPLL. Spinal cord compression and signal intensity changes were identified at the level of C3/4 on magnetic resonance imaging (MRI). He underwent emergency surgery consisting of posterior decompression with laminoplasty of C3-6. Despite the surgery, the patient's tetraplegia did not improve and he continued to require respirator support. There was still no improvement in his neurological status at 10 days postoperatively, and MRI demonstrated evidence of marked spinal cord infarction. DISCUSSION: Mechanical compression of spinal arteries by OPLL and pre-existing vascular compromise had a role in the pathogenesis of spinal cord infarction. Chronic spinal compression may be characterized by 3 important factors, namely an uncommonly devastating clinical course, vascular risk factors and persistent findings on MRI, and these might lead to early diagnosis of spinal cord infarction.

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“…Surgery is indicated when nonoperative treatment fails or there is worsening of radiculopathy and/ or myelopathy [28,36]. Several procedures have been described for treatment of disc herniation and cervical spondylosis including anterior decompression, laminectomy, laminoplasty, instrumented anterior and posterior fusion by plates or screws [2-4, 6, 7, 10, 16, 17, 19, 22, 24, 29, 34, 38, 40, 45, 50].…”

Section: Introductionmentioning

confidence: 99%

Sagittal Segmental Alignment as Predictor of Adjacent-Level Degeneration After a Cloward Procedure

Faldini

Pagkrati

Leonetti

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background The Cloward anterior interbody fusion is commonly performed for cervical disc herniation or spondylosis. In followup studies, various authors have noted clinically relevant adjacent-level degeneration. However, factors associated with adjacent-level degeneration are not well known. Questions/purposes We asked whether the postoperative sagittal segmental alignment of the fused vertebrae could be used as a predictor of adjacent-level degeneration. Methods We retrospectively studied 107 patients, aged 35 to 55 years, with one-level cervical disc disease between C4 and C7 operated on from 1985 to 1995 by discectomy and one-level anterior cervical fusion according to the Cloward procedure. In standard radiographs of the cervical spine in lateral view, the alignment of the involved intervertebral space (sagittal segmental alignment) and the sagittal alignment of the cervical spine were measured and the adjacent-level degeneration was assessed using the Kellgren and Lawrence criteria. The minimum followup was 10 years (mean, 16 years; range, 10-23 years).

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Cervical Intradural Disc Herniation

Cited by 34 publications

References 9 publications

Brown–Sequard syndrome produced by cervical disc herniation with complete neurologic recovery: report of three cases and review of the literature

Brown–Sequard syndrome produced by cervical disc herniation with complete neurologic recovery: report of three cases and review of the literature

Spinal cord infarction at the level of ossification of the posterior longitudinal ligament

Sagittal Segmental Alignment as Predictor of Adjacent-Level Degeneration After a Cloward Procedure

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