scholarly journals Wake-up stroke in a young woman with rotational vertebral artery occlusion due to far-lateral cervical disc herniation

2015 ◽  
Vol 23 (2) ◽  
pp. 166-169 ◽  
Author(s):  
Masakazu Okawa ◽  
Takaaki Amamoto ◽  
Hiroshi Abe ◽  
Sohei Yoshimura ◽  
Toshio Higashi ◽  
...  

Wake-up stroke is most likely to be caused by small-vessel disease, and is related to snoring. The authors present a rare case of far-lateral cervical disc herniation with neck rotation, resulting in wake-up stroke in a young woman. The patient, a 31-year-old woman, was admitted to the hospital because of dysarthria and confusion when she awoke in the morning. Brain MRI showed acute infarction in the posterior fossa. Cerebral angiography showed thrombus in the distal top of the basilar artery and the bilateral posterior cerebral arteries. During angiography, the thrombus size decreased with heparinization. There was severe stenosis of the right vertebral artery (VA) at C5–6, and head rotation to the right resulted in complete occlusion of the right VA. Neck MRI showed far-lateral intervertebral disc herniation. Surgical decompression of the VA was performed via the anterior cervical approach. Histological examination showed a degenerative intervertebral disc. Postoperative angiography confirmed successful decompression of the VA.

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Parag Suresh Mahajan ◽  
Nawal M. Al Moosawi ◽  
Islam Ali Hasan

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.


2005 ◽  
Vol 18 (2_suppl) ◽  
pp. 75-78
Author(s):  
Xf. He ◽  
YY. Xiao ◽  
YH. Li ◽  
W. Lu ◽  
Y. Chen ◽  
...  

We evaluated the safety and therapeutic effect of treating cervical disc herniation with O2-O3 mixture injection into the intradiscal space. 58 patients with 126 herniated discs verified by MRI were selected for the study, and all patients presented the symptoms of upper limb, cervical and shoulder pain. The procedures were guided by fluoroscopy (28 cases) and by CT (30 cases). The puncture route was defined between the right common carotid artery and trachea clearance. 1∼2 ml O2-O3 mixture at 30–40 ug/mL was injected into each herniated disc space. 58 patients were followed up from three to 30 months after treatment. The therapeutic effect showed that 33 cases (56.9%) had excellent recovery, 11 cases (19.0%) had significant relief of symptoms, and 14 cases (24.1%) resulted in treatment failure. No serious complication occurred. The therapeutic method developed by using O2-O3 mixture injection in cervical intradiscal space was a safe and effective method for the treatment of cervical disc herniation.


2005 ◽  
Vol 2 (5) ◽  
pp. 608-611 ◽  
Author(s):  
Hans-Holger Capelle ◽  
Johannes C. Wöhrle ◽  
Ralf Weigel ◽  
Eva Grips ◽  
Hans-Jörg Bäzner ◽  
...  

✓ Propriospinal myoclonus is a rare form of spinal myoclonus. In most cases the cause has remained unclear. Secondary propriospinal myoclonus has been described secondary to various disorders including trauma, tumor, and infection. Thus far, propriospinal myoclonus caused by cervical disc herniation has not been reported. In the present report, the authors describe the case of a 53-year-old man who presented with radicular symptoms of the right C-6 nerve root and myoclonic twitches predominantly affecting the abdominal muscles but spreading to adjacent muscles. The spread was triggered and enforced by certain movements. Magnetic resonance imaging studies revealed a C-6 nerve root compression at the C5–6 level on the right side but no cervical myelopathy. Electromyography studies confirmed the diagnosis of propriospinal myoclonus. After discectomy and cage-augmented fusion via an anterior approach, the myoclonic movement disorder gradually subsided. To the authors' knowledge, this is the first report on successful treatment of propriospinal myoclonus by spinal disc surgery.


2014 ◽  
Vol 0 (0) ◽  
Author(s):  
Ahmet Aslan ◽  
Ünal Kurtoğlu ◽  
Mustafa Özgür Akça ◽  
Sinan Tan ◽  
Uğur Soylu ◽  
...  

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