Idiopathic localizing signs and atypical symptoms of cervical disk pathology: A case report
| Autor: | William Clifton, Clarence B. Watridge, Kent R. Richter, Mark A. Pichelmann, Jang W. Yoon |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Weakness medicine.medical_specialty Disc herniation Anterior cervical discectomy and fusion Nerve root compression 03 medical and health sciences 0302 clinical medicine Physiology (medical) medicine Humans Lower extremity weakness Paresthesia Radiculopathy Leg Muscle Weakness Leg weakness business.industry General Medicine Middle Aged Surgery Neurology 030220 oncology & carcinogenesis Cervical Vertebrae Neurology (clinical) medicine.symptom Presentation (obstetrics) Cervical disc business Intervertebral Disc Displacement 030217 neurology & neurosurgery Diskectomy |
| Zdroj: | Journal of Clinical Neuroscience. 61:293-295 |
| ISSN: | 0967-5868 |
| Popis: | Cervical disc herniations most often present with neck and arm pain resulting from direct nerve root compression from a paramedian or foraminal disc herniation. It is unusual to encounter unilateral lower extremity symptoms in the absence of other neurological symptoms due to a centrally herniated cervical disc. Because this clinical presentation is uncommon, there can be misdiagnosis, or delay in treatment of patients who suffer from debilitating pain or weakness. We treated a patient who presented with acute progressive unilateral lower extremity weakness and paresthesia from a large herniated cervical disk. His lower extremity symptoms resolved post-operatively after undergoing anterior cervical discectomy and fusion. This case provides an example of the importance of neuroanatomical knowledge in surgical decision-making; clinicians should recognize that unilateral leg weakness can result from cervical disc herniation in absence of other neurological symptoms. |
| Databáze: | OpenAIRE |
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