Traumatic cervical disc protrusion with cord compression

Case contributed by Dr Ian Bickle

Presentation

Fall. Parapelgia.

Patient Data

Age: 70 years
Gender: Female

Normal craniocervical junction.

C5/6- Large disc prolapse at C5/C6. This combined with posterior longitudinal ligament calcification is severely compressing and distorting the cord, with both high signal and expansion of the cord at the C5/C6 level, consistent with the cord compression with cord edema opposite the C5 and C6 vertebral bodies. Minimal calcification within the prolapsed disc suggesting a large component of this is acute. 

Bilateral foraminal stenosis also at C5/C6 due to neurocentral osteophytosis.

Small left paracentral disc osteophyte complex at T6-T7. No cord compression or nerve root impingement.

Left paracentral disc osteophyte complex at T10/T11 contacting the ventral aspect of the cord with mild exit foraminal narrowing. No nerve root impingement.

Diffuse disc osteophyte complex T11/T12 with left-sided asymmetry, contacting the ventral aspect of the cord. No cord or nerve root impingement.

Case Discussion

Traumatic C5/C6 cord compression due to an acute disc prolapse on the background of chronic disc disease. 

CT was undertaken prior to the MRI on which no bony injury was identified.

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Case information

rID: 76639
Published: 1st May 2020
Last edited: 3rd May 2020
System: Spine
Inclusion in quiz mode: Included

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