Document Detail


Paresis associated with aconuresis caused by intervertebral disc calcification at c7-t1: a case report and review of the literature.
MedLine Citation:
PMID:  20393391     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Case report. OBJECTIVE: To report a case of a 19-year-old boy with intervertebral disc calcification (IDC) at C7-T1, who presented with paresis and aconuresis. Surgical outcome was assessed. SUMMARY OF BACKGROUND DATA: IDC, commonly seen in the cervical spine region in children, is well-known as a self-limiting disorder with no or little symptoms. Surgical intervention is usually not required. METHODS: A 19-year-old boy presented with acute back pain, progressive numbness, and weakness of both lower extremities and aconuresis for 1 week. There was no traumatic history or signs of infection. Radiograph, computed tomography with reconstruction, and magnetic resonance imaging revealed C7-T1 IDC with severe spinal cord compression. Decompression with anterior cervical corpectomy and fusion was performed. RESULTS: Follow-up showed complete resolution of the back pain and complete recovery of motor power and sensory function in both lower extremities and return of normal micturition function. The patient had full recovery with no complications. CONCLUSION: Serious neurologic deficit, especially a bladder dysfunction, caused by calcified intervertebral disc is rare. However, favorable outcome can be achieved in those cases where rapid diagnosis is made and followed by spinal cord decompression.
Authors:
Hai-Song Yang; De-Yu Chen; Wen Yuan; Li-Li Yang; Nick Tsai; Qiu-shui Lin
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  35     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-30     Completed Date:  2010-08-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E434-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Changzheng Hospital, No. 415 Feng Yang Road, Shanghai, China.
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MeSH Terms
Descriptor/Qualifier:
Back Pain / etiology
Calcinosis / complications*,  pathology*,  physiopathology
Cervical Vertebrae / pathology,  radiography,  surgery
Decompression, Surgical
Humans
Intervertebral Disk / pathology,  radiography,  surgery
Intervertebral Disk Displacement / complications*,  pathology*,  physiopathology
Magnetic Resonance Imaging
Male
Neurosurgical Procedures
Paresis / etiology
Spinal Canal / pathology,  radiography,  surgery
Spinal Cord / pathology,  physiopathology
Spinal Cord Compression / etiology*,  pathology*,  physiopathology
Spinal Fusion / methods
Thoracic Vertebrae / pathology,  radiography,  surgery
Tomography, X-Ray Computed
Treatment Outcome
Urinary Bladder, Neurogenic / etiology
Young Adult

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