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Anterior Herniation of Partially Calcified and Degenerated Cervical Disc Causing Dysphagia.

Ozdol C, Turk CC, Yildirim AE, Dalgic A - Asian Spine J (2015)

Bottom Line: Lateral X-ray revealed calcified osteophytes at the anterior C4-5 level.Magnetic resonance imaging showed soft disc herniation involving the right C6 root at the C5-6 level and anterior herniation of the C4-5 cervical disc.Cervical disc herniation usually presents with radicular findings.

View Article: PubMed Central - PubMed

Affiliation: Neurosurgery Clinics, Antalya Education and Research Hospital, Antalya, Turkey.

ABSTRACT
We report a rare case of anterior cervical disc herniation associated with dysphagia. A 32-year-old man presented with complaints of dysphagia and concomitant pain in the right arm resistant to conservative therapy. On physical examination with respect to the muscle strength, the right shoulder abduction and flexion of the forearm were 3/5. Lateral X-ray revealed calcified osteophytes at the anterior C4-5 level. Magnetic resonance imaging showed soft disc herniation involving the right C6 root at the C5-6 level and anterior herniation of the C4-5 cervical disc. Anterior discectomies for C4-5 and C5-6 levels stabilized and ameliorated the dysphagia and pain. Cervical disc herniation usually presents with radicular findings. However, dysphagia may be an uncommon presentation. Anterior cervical disc herniation should be considered in a patient presenting with dysphagia.

No MeSH data available.


Related in: MedlinePlus

Magnetic resonance imaging; (A) sagittal and (B, C) axial views. Anterior C4-5 disc herniation causing compression of the esophagus. Right-sided C5-6 disc herniation with root compression.
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Figure 2: Magnetic resonance imaging; (A) sagittal and (B, C) axial views. Anterior C4-5 disc herniation causing compression of the esophagus. Right-sided C5-6 disc herniation with root compression.

Mentions: A 32-year-old male was admitted with complaints of dysphagia and radicular pain in the right arm. He was suffering from dysphagia for two years and was treated conservatively at internal medicine clinics. His complaints were initially limited to a sensation of discomfort in his throat, which later on progressed to difficulty in swallowing liquids rather than solid foods. Four months ago, he experienced acute radicular pain in the right arm, but it persisted despite rest and analgesics. On neurological examination, right shoulder abduction and flexion of the forearm were 3/5. X-ray showed a fluffy, radiodense mass at the C4-5 level, which did not extend to the anterior longitudinal ligament (Fig. 1). Cervical magnetic resonance imaging scans revealed partially calcified and degenerated anterior disc herniation, compressing the esophagus at the C4-5 level, and soft disc herniation involving the right C6 root at the C5-6 level (Fig. 2). On esophagography, an extrinsic esophageal lesion was considered to be responsible for the obstruction of the passage at the same level with partially calcified anterior disc herniation (Fig. 3).


Anterior Herniation of Partially Calcified and Degenerated Cervical Disc Causing Dysphagia.

Ozdol C, Turk CC, Yildirim AE, Dalgic A - Asian Spine J (2015)

Magnetic resonance imaging; (A) sagittal and (B, C) axial views. Anterior C4-5 disc herniation causing compression of the esophagus. Right-sided C5-6 disc herniation with root compression.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522454&req=5

Figure 2: Magnetic resonance imaging; (A) sagittal and (B, C) axial views. Anterior C4-5 disc herniation causing compression of the esophagus. Right-sided C5-6 disc herniation with root compression.
Mentions: A 32-year-old male was admitted with complaints of dysphagia and radicular pain in the right arm. He was suffering from dysphagia for two years and was treated conservatively at internal medicine clinics. His complaints were initially limited to a sensation of discomfort in his throat, which later on progressed to difficulty in swallowing liquids rather than solid foods. Four months ago, he experienced acute radicular pain in the right arm, but it persisted despite rest and analgesics. On neurological examination, right shoulder abduction and flexion of the forearm were 3/5. X-ray showed a fluffy, radiodense mass at the C4-5 level, which did not extend to the anterior longitudinal ligament (Fig. 1). Cervical magnetic resonance imaging scans revealed partially calcified and degenerated anterior disc herniation, compressing the esophagus at the C4-5 level, and soft disc herniation involving the right C6 root at the C5-6 level (Fig. 2). On esophagography, an extrinsic esophageal lesion was considered to be responsible for the obstruction of the passage at the same level with partially calcified anterior disc herniation (Fig. 3).

Bottom Line: Lateral X-ray revealed calcified osteophytes at the anterior C4-5 level.Magnetic resonance imaging showed soft disc herniation involving the right C6 root at the C5-6 level and anterior herniation of the C4-5 cervical disc.Cervical disc herniation usually presents with radicular findings.

View Article: PubMed Central - PubMed

Affiliation: Neurosurgery Clinics, Antalya Education and Research Hospital, Antalya, Turkey.

ABSTRACT
We report a rare case of anterior cervical disc herniation associated with dysphagia. A 32-year-old man presented with complaints of dysphagia and concomitant pain in the right arm resistant to conservative therapy. On physical examination with respect to the muscle strength, the right shoulder abduction and flexion of the forearm were 3/5. Lateral X-ray revealed calcified osteophytes at the anterior C4-5 level. Magnetic resonance imaging showed soft disc herniation involving the right C6 root at the C5-6 level and anterior herniation of the C4-5 cervical disc. Anterior discectomies for C4-5 and C5-6 levels stabilized and ameliorated the dysphagia and pain. Cervical disc herniation usually presents with radicular findings. However, dysphagia may be an uncommon presentation. Anterior cervical disc herniation should be considered in a patient presenting with dysphagia.

No MeSH data available.


Related in: MedlinePlus