Results of the Treatment of Cervical Disc Herniation. Study with Magnetic Resonance Imaging.

The present method comparison study was carried out in the Radiology and Imaging Department of Dhaka Medical College & Hospital, Dhaka during the period of January 2012 to December 2013 to evaluate the role of Magnetic Resonance Imaging in the diagnosis of cervical disc herniation. A total of 40 patients having clinical features of cervical disc herniation with neck pain referred to the Department of Radiology & Imaging for MRI of their cervical spine were included in the study. At first all the patients were evaluated by detail history and clinical examination with special emphasis on clinical features. Then subsequently MRI of cervical spine was performed in all cases. The MRI report was checked by a competent radiologist of the department of Radiology and imaging DMCH. Among these 40 patients 11 were operated in department of neurosurgery, DMCH and 29 were operated in spine surgery unit, Department of Orthopaedic, BSMMU, Dhaka. The MRI and peroperative findings of these 40 patients were analyzed for the study. MRI findings correlated well in most of the cases with preoperative findings. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of MRI in the diagnosis of cervical disc herniation were 94.12%, 83.33%, 96.97%, 71.43% and 92.5% respectively. Therefore it can be concluded that MRI may be used as a reliable tool with which we can assess the level, type and position of cervical disc herniation and can plan the subsequent appropriate management in majority of cases.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21071

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Disappearing cervical disc

Neurosurgical FOCUS ◽

10.3171/foc.1996.1.6.5 ◽

1996 ◽

Vol 1 (6) ◽

pp. E4 ◽

Cited By ~ 1

Author(s):

Richard M. Westmark ◽

Kaye D. Westmark ◽

Volker K. H. Sonntag

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Computerized Tomography ◽

Disc Herniation ◽

Lumbar Disc ◽

Spontaneous Resolution ◽

Herniated Disc ◽

Cervical Disc ◽

Resonance Imaging ◽

Herniated Lumbar Disc

The authors report the case of a 48-year-old woman who experienced spontaneous resolution of a large herniated disc at C6-7. Spontaneous resolution of a herniated lumbar disc was first documented by computerized tomography. This case is another example of a rare spontaneous resolution of a cervical disc herniation documented by magnetic resonance imaging.

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Cord Compression Secondary to Cervical Disc Herniation Associated with Calcification of the Ligamentum Flavum: Case Report

Neurosurgery ◽

10.1097/00006123-200103000-00047 ◽

2001 ◽

Vol 48 (3) ◽

pp. 673-676 ◽

Cited By ~ 18

Author(s):

L. Fernando Ugarriza ◽

José M. Cabezudo ◽

Luis F. Porras ◽

José A. Rodríguez-Sánchez

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Magnetic Resonance ◽

Dura Mater ◽

Disc Herniation ◽

Ligamentum Flavum ◽

Cord Compression ◽

Cervical Disc ◽

Resonance Imaging ◽

Total Recovery

Abstract OBJECTIVE AND IMPORTANCE Calcification of the ligamentum flavum is a rare disease that occurs almost exclusively in elderly Japanese people. We report the case of a young Caucasian woman who presented with a C5–C6 disc herniation associated with a cervical calcified ligamentum flavum. CLINICAL PRESENTATION The patient presented with a cord compression syndrome of 76 hours' evolution. At exploration, a Brown-Séquard syndrome at the C6 level was found. Magnetic resonance imaging and computed tomography led to a correct diagnosis and planning for decompression. INTERVENTION We operated on the patient through a combined anterior and posterior approach. After the patient underwent anterior discectomy with intersomatic arthrodesis, we performed posterior decompression. During the operation, we observed that the dura mater could not be separated from the ligamentum, so an en bloc excision of both structures was performed. Microscopic examination indicated that the excised ligamentum had calcification, and total integration of the dura mater into the structure of the ligamentum was demonstrated. To our knowledge, this circumstance has never been described before. A posterior C3–C7 arthrodesis was performed to prevent postoperative kyphosis. Recovery was successful, with total recovery from neurological deficits 4 months later. CONCLUSION Calcification of the ligamentum flavum is a progressive disease that starts early in life and becomes symptomatic later in life when spinal stenosis occurs. Magnetic resonance imaging and computed tomography provide adequate diagnosis and allow proper surgical planning for decompression. The presence of hyperintense areas within the spinal cord parenchyma, in the absence of a traumatic antecedent, does not preclude a complete recovery.

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Cervical Disc Herniation Presenting with Chest Wall Pain

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s0317167100047430 ◽

1993 ◽

Vol 20 (1) ◽

pp. 59-61 ◽

Cited By ~ 5

Author(s):

Michael C. Yeung ◽

Neil A. Hagen

Keyword(s):

Magnetic Resonance Imaging ◽

Cervical Spine ◽

Chest Wall ◽

Disc Herniation ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Resonance Imaging ◽

Neck Movement ◽

Disc Material ◽

Magnetic Resonance Imaging Mri

ABSTRACT:This report highlights the clinical features of two patients who presented with severe neuropathic chest wall pain caused by herniated C6-7 disc, and speculates on the pathophysiology of this syndrome. Worsening of symptoms with neck movement helped localize the process as cervical spine rather than plexus in origin. Both patients had herniated C6-7 disc material compressing the spinal cord and C7 nerve root, and neurological symptoms resolved promptly following surgery. Neuropathic chest wall pain should alert the clinician to consider the diagnosis of cervical disc herniation and prompt definitive imaging of the cervical spine by myelography or magnetic resonance imaging (MRI).

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