Cervical disc protrusion

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

9-month history of cervical spine pain with LUL pain/weakness/P+N into the hand with loss of dexterity. Not improved with the physiotherapy. Bloods ordered for the possible inflammatory component.

Patient Data

Age: 45 years
Gender: Male
mri

Normal craniocervical junction.

Large C3/C4 left paracentral disc protrusion compressing the left side of the cord.  No high T2 intramedullary signal.  Mild bilateral foraminal stenosis.

Disc oestophyte complex at C5/C6 causing a moderate bilateral foraminal stenosis.

Moderate left foraminal stenosis at C6/C7.

Case Discussion

C3/C4 disc protrusion with cord compression.  Cervical disc prolapse is far less commonly observed than in the lumbar spine.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.