The spine journal : official journal of the North American Spine Society · 2007
Isolated C3-C4 disc herniations present as a painless myelopathy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Sayer Faisal T, Vitali Aleksander M, Paquette Scott, Honey Christopher R
Аннотация
BACKGROUND CONTEXT: Cervical disc herniations at the C3-C4 level are distinctly uncommon. The authors present the first case series of isolated C3-C4 disc herniations presenting with myelopathy.
PURPOSE: To elucidate a rare presentation of the uncommon C3-C4 disc herniation.
STUDY DESIGN: Case series.
PATIENT SAMPLE: The four patients who presented with myelopathy caused by isolated C3-C4 disc herniations, at the spine unit, Vancouver General Hospital between 1999 and 2005.
OUTCOME MEASURE: Improvement in neurological status.
METHODS: We retrospectively reviewed the files of the patients. The clinical features and outcome of surgery were assessed.
RESULTS: The C3-C4 disc herniation can present as with no or mild pain, and hand numbness was a prominent symptom. Early recognition and treatment led to favorable outcome.
CONCLUSIONS: Myelopathy is rarely caused by a C3-C4 disc herniation. This etiology may be underdiagnosed but has a more favorable outcome in those cases where rapid diagnosis is followed by spinal cord decompression.
PURPOSE: To elucidate a rare presentation of the uncommon C3-C4 disc herniation.
STUDY DESIGN: Case series.
PATIENT SAMPLE: The four patients who presented with myelopathy caused by isolated C3-C4 disc herniations, at the spine unit, Vancouver General Hospital between 1999 and 2005.
OUTCOME MEASURE: Improvement in neurological status.
METHODS: We retrospectively reviewed the files of the patients. The clinical features and outcome of surgery were assessed.
RESULTS: The C3-C4 disc herniation can present as with no or mild pain, and hand numbness was a prominent symptom. Early recognition and treatment led to favorable outcome.
CONCLUSIONS: Myelopathy is rarely caused by a C3-C4 disc herniation. This etiology may be underdiagnosed but has a more favorable outcome in those cases where rapid diagnosis is followed by spinal cord decompression.