Intradural herniated cervical disc

1982 ◽  
Vol 57 (2) ◽  
pp. 278-280 ◽  
Author(s):  
José M. Roda ◽  
Cesáreo Gonzalez ◽  
Martín G. Blázquez ◽  
Marcelino P. Alvarez ◽  
Cesar Arguello
Keyword(s):  
Unusual Case ◽  
Cervical Disc ◽  
Content Type ◽  
Pathogenic Factors ◽  
Herniated Cervical Disc ◽  
Fine Print

✓ An unusual case is presented in which a fragment of cervical disc was found within the dura. The literature has been reviewed and only two similar cases, which are described, have been found. The pathogenic factors of the lesion are discussed.

Synovial cyst of spinal facet

1974 ◽  
Vol 41 (3) ◽  
pp. 372-376 ◽  
Author(s):  
Chun C. Kao ◽  
Stefan S. Winkler ◽  
J. H. Turner
Keyword(s):  
Facet Joint ◽  
Synovial Cyst ◽  
Cervical Disc ◽  
Content Type ◽  
Synovial Cysts ◽  
Extradural Cyst ◽  
Cervical Facet ◽  
Cervical Facet Joint ◽  
Herniated Cervical Disc ◽  
Fine Print

✓The authors report a case in which a true synovial cyst was found attached to a cervical facet joint. The differential diagnosis involving herniated cervical disc as well as other types of extradural cyst is discussed. The anatomically oriented term “juxta-facet cyst” is proposed to include both ganglion and synovial cysts seen in this area.

Intraradicular herniated lumbar disc

1984 ◽  
Vol 60 (4) ◽  
pp. 858-860 ◽  
Author(s):  
José Barberá ◽  
José Gonzalez-Darder ◽  
Fernando García-Vazquez
Keyword(s):  
Nerve Root ◽  
Unusual Case ◽  
Lumbar Disc ◽  
Content Type ◽  
Pathogenic Factors ◽  
Herniated Lumbar Disc ◽  
Fine Print

✓ An unusual case is presented in which a fragment of herniated lumbar disc was found within the sheath of the S-1 nerve root. The possible pathogenic factors are discussed.

Circumferential fracture of the skull base causing craniocervical dislocation

2002 ◽  
Vol 97 (1) ◽  
pp. 118-122 ◽  
Author(s):  
Ganesh Rao ◽  
Adam S. Arthur ◽  
Ronald I. Apfelbaum
Keyword(s):  
High Speed ◽  
Unusual Case ◽  
Motor Vehicle ◽  
Neurological Impairment ◽  
Craniocervical Junction ◽  
Motor Vehicle Accidents ◽  
Review Of The Literature ◽  
Content Type ◽  
Vehicle Accidents ◽  
Fine Print

✓ Fractures of the craniocervical junction are common in victims of high-speed motor vehicle accidents; indeed, injury to this area is often fatal. The authors present the unusual case of a young woman who sustained a circumferential fracture of the craniocervical junction. Despite significant trauma to this area, she suffered remarkably minor neurological impairment and made an excellent recovery. Her injuries, treatment, and outcome, as well as a review of the literature with regard to injuries at the craniocervical junction, are discussed.

Posterolateral microdiscectomy for cervical monoradiculopathy caused by posterolateral soft cervical disc sequestration

1990 ◽  
Vol 72 (3) ◽  
pp. 370-377 ◽  
Author(s):  
Francois Aldrich
Keyword(s):  
Anterior Approach ◽  
Posterior Longitudinal Ligament ◽  
Clinical Results ◽  
Skin Incision ◽  
Posterolateral Approach ◽  
Cervical Disc ◽  
Attractive Alternative ◽  
Disc Space ◽  
Content Type ◽  
Fine Print

✓ The controversy over whether to use a posterior or anterior approach for surgical treatment of soft cervical discs is still largely unsettled. However, although the posterior approach may be underutilized, it has distinct advantages when there are specific indications. Out of a large pool of cases, 53 patients presented with acute monoradiculopathy caused by soft cervical disc herniation. In 36 of these, the disc was sequestered (nonconfined) and was posterolateral to the disc space as seen on computerized tomography-myelography. Distinct motor weakness was a common clinical finding in all 36 cases. These patients were treated by using a 2- to 3-cm skin incision for the posterolateral microsurgical approach. The extent of the lateral facetectomy depended upon the relationship between the nerve root and the disc. All fragments were lateral to the dural sac and were sequestered through the anulus fibrosus and the posterior longitudinal ligament. Sequestrations were removed under direct microscopic vision, but the disc space was not entered. Pain relief and motor-power improvement in the affected radicular distribution were immediate in all patients. Sensory deficit and residual motor loss improved dramatically with normalization at approximately 6 months. No complications occurred and the mean hospital stay was 2 days. The follow-up period varied from 4 to 42 months with a mean of 26 months. Thus far, there have been no recurrences or other associated complications. By using strict selection criteria and a microsurgical posterolateral approach with removal of the sequestered disc fragment, excellent results with normalization of the monoradiculopathy can be obtained. The ease of this technique, low risk, minimal complications, and excellent results make it an attractive alternative to the anterior approach. The clinical presentations, specific indications, surgical technique, and clinical results are discussed; and a prototype of a small cervical self-retaining retractor is described.

Spinal intradural schwannoma without attachment to a nerve root

1982 ◽  
Vol 57 (5) ◽  
pp. 701-702 ◽  
Author(s):  
Angelo Bollati ◽  
Giuseppe Galli ◽  
Massimo Gandolfini ◽  
Giovanni Marini ◽  
Gabriele Pizzoli
Keyword(s):  
Nerve Root ◽  
Unusual Case ◽  
Content Type ◽  
Fine Print ◽  
Root Connection

✓ The authors report an unusual case of intradural schwannoma, without demonstrable nerve root connection. An original explanation is given.

The future in the care of the cervical spine: interbody fusion and arthroplasty

2004 ◽  
Vol 1 (2) ◽  
pp. 155-159 ◽  
Author(s):  
Praveen V. Mummaneni ◽  
Regis W. Haid
Keyword(s):  
Adjacent Segment Degeneration ◽  
Cervical Disc ◽  
Adjacent Segment ◽  
Cervical Fusion ◽  
Cervical Disc Disease ◽  
Disc Disease ◽  
Cervical Arthroplasty ◽  
Content Type ◽  
Fine Print

✓ In the past 50 years tremendous advances have been made in the treatment of cervical disc disease with cervical fusion. Fusion rates have surpassed 95% after application of anterior cervical implants. Adjacent-segment degeneration, however, has plagued the long-term clinical success of cervical fusion. Cervical arthroplasty has been introduced to maintain cervical motion and potentially avoid or minimize adjacent-segment degeneration. If cervical arthroplasty is successful, the long-term results of surgery for cervical disc disease may improve; however, there are associated drawbacks that must be overcome. Implant wear, fatigue, and failure have been reported in cases of large-joint arthroplasty, and research is underway to limit these problems in cervical arthroplasty. In this article the authors trace the evolution of cervical fusion and the new technique of cervical arthroplasty. The nomenclature of cervical arthroplasty will also be introduced.

Aberrant vertebral artery course in a case of Chiari malformation and occipitoatlantal assimilation

2005 ◽  
Vol 3 (3) ◽  
pp. 246-248 ◽  
Author(s):  
Shinji Hotta ◽  
Akio Morita ◽  
Atsushi Seichi ◽  
Takaaki Kirino
Keyword(s):  
Vertebral Artery ◽  
Chiari Malformation ◽  
Unusual Case ◽  
Content Type ◽  
Fine Print

✓ The authors report an unusual case of a patient with combined vertebral artery and Chiari malformation anomalies. Unless such anomalies are properly recognized prior to decompression and fusion, this condition can have grave surgical consequences. The diagnostic and surgery-related implications of such anomalous codiseases are discussed.

Pudendal neuralgia due to solitary neurofibroma

1982 ◽  
Vol 56 (5) ◽  
pp. 732-733 ◽  
Author(s):  
Francesco Tognetti ◽  
Massimo Poppi ◽  
Giulio Gaist ◽  
Franco Servadei
Keyword(s):  
Pain Relief ◽  
Unusual Case ◽  
Clinical History ◽  
Pudendal Neuralgia ◽  
Content Type ◽  
Solitary Neurofibroma ◽  
Complete Pain Relief ◽  
Perineal Region ◽  
Fine Print

✓ An unusual case of pudendal neuralgia due to a solitary neurofibroma of the perineal region is described. The authors outline the long clinical history. There was complete pain relief after removal of the lesion.

Transient rotational compression of the vertebral artery caused by herniated cervical disc

2003 ◽  
Vol 98 (1) ◽  
pp. 80-83 ◽  
Author(s):  
Andrew N. Nemecek ◽  
David W. Newell ◽  
Robert Goodkin
Keyword(s):  
Vertebral Artery ◽  
Head Rotation ◽  
Cervical Disc ◽  
Vertebrobasilar Insufficiency ◽  
Content Type ◽  
Vertebrobasilar Ischemia ◽  
Extrinsic Compression ◽  
The Many ◽  
Herniated Cervical Disc ◽  
Adequate Decompression

✓ Of the many causes of vertebrobasilar insufficiency (VBI), extrinsic compression of the vertebral artery (VA) is relatively uncommon. A syndrome of VBI caused by extrinsic compression of the VA secondary to head rotation has been termed positional vertebrobasilar ischemia. The authors present a case of transient VBI caused by herniation of a cervical disc. Transcranial Doppler ultrasonography was used preoperatively to confirm the diagnosis and intraoperatively to monitor cerebral perfusion and to confirm that adequate decompression of the VA had been achieved.

Influence of an artificial cervical joint compared with fusion on adjacent-level motion in the treatment of degenerative cervical disc disease

2002 ◽  
Vol 96 (1) ◽  
pp. 17-21 ◽  
Author(s):  
Crispin Wigfield ◽  
Steven Gill ◽  
Richard Nelson ◽  
Ilana Langdon ◽  
Newton Metcalf ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Sagittal Plane ◽  
Autologous Bone Graft ◽  
Intervertebral Discs ◽  
Cervical Disc ◽  
Adjacent Level ◽  
Disc Disease ◽  
Content Type ◽  
Flexion Extension ◽  
Fine Print

Object. The authors report the preservation of motion at surgically treated and adjacent spinal segments after placing an artificial cervical joint (ACJ) and they describe the influence of interbody fusion on changes in angulation occurring in the sagittal plane at adjacent levels in the treatment of cervical spondylosis. Methods. The authors conducted a prospective nonrandomized study of patients in whom an ACJ was placed or autologous bone graft interbody fusion was performed. Angular measurements at levels adjacent to that surgically treated were calculated using plain flexion—extension radiographs obtained at 6-month intervals. Analyses of qualitative data, such as increase or decrease in adjacent-level motion, and the degree of disc degeneration were performed. Quantitative data were also analyzed. In the fusion group a significant increase in adjacent-level movement was demonstrated at the 12-month follow-up visit compared with the group of patients in whom ACJs were placed (p < 0.001). The increase in movement occurred predominantly at intervertebral discs that were preoperatively regarded as normal (p < 0.02). An overall reduction in adjacent-level movement was observed in patients who underwent joint replacement, although this was compensated for by the movement provided by the ACJ itself. Conclusions. Fusion results in increased motion at adjacent levels. The increase in adjacent-level motion derives from those discs that appear radiologically normal prior to surgery. It remains unknown whether ACJs have a protective influence on adjacent intervertebral discs.

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