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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

Esophagography revealed a normal peristaltic esophagus.
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Figure 5: Esophagography revealed a normal peristaltic esophagus.

Mentions: We performed anterior microdiscectomies for C4-5 and C5-6 levels and stabilized the spine with polyetheretherketone cages and plate-screw system (Fig. 4). The surgery was performed without any complications, and there were no obvious difficulty in either manipulating or dissecting the esophagus from anterior disc herniation without any fibrotic adhesions. He was mobilized on the first postoperative day and his complaints (especially dysphagia and pain) improved considerably. On follow-up examination at the second month, he was neurologically normal and dysphagia had resolved. Moreover, esophagography revealed a normal peristaltic esophagus (Fig. 5).


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

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

Esophagography revealed a normal peristaltic esophagus.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Esophagography revealed a normal peristaltic esophagus.
Mentions: We performed anterior microdiscectomies for C4-5 and C5-6 levels and stabilized the spine with polyetheretherketone cages and plate-screw system (Fig. 4). The surgery was performed without any complications, and there were no obvious difficulty in either manipulating or dissecting the esophagus from anterior disc herniation without any fibrotic adhesions. He was mobilized on the first postoperative day and his complaints (especially dysphagia and pain) improved considerably. On follow-up examination at the second month, he was neurologically normal and dysphagia had resolved. Moreover, esophagography revealed a normal peristaltic esophagus (Fig. 5).

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