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Acute Cervical Disc Herniation

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1. Acute prevertebral abscess secondary to intradiscal oxygen–ozone chemonucleolysis for treatment of a cervical disc herniation (PubMed)

Acute prevertebral abscess secondary to intradiscal oxygen–ozone chemonucleolysis for treatment of a cervical disc herniation Objective We herein present a case involving a prevertebral abscess complicated by a spinal epidural abscess (SEA) secondary to intradiscal oxygen-ozone chemonucleolysis for treatment of a cervical disc herniation. Methods A 67-year-old woman with a history of intradiscal oxygen-ozone chemonucleolysis developed numbness and weakness in her right upper and bilateral (...) lower extremities followed by urinary retention. Her symptoms did not respond to intravenous antibiotics alone. Magnetic resonance imaging of the cervical region revealed an extensive SEA anterior to the spinal cord, spinal cord myelopathy due to anterior compression by the lesion, and a prevertebral abscess extending from C2 to T1. She underwent surgical drainage and irrigation. Results The patient was successfully treated with surgical drainage and systemic antibiotic therapy without kyphosis

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2018 The Journal of international medical research

2. Acute Cervical Disc Herniation

Acute Cervical Disc Herniation Acute Cervical Disc Herniation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Cervical Disc (...) Herniation Acute Cervical Disc Herniation Aka: Acute Cervical Disc Herniation , Soft Cervical Disc Protrusion From Related Chapters II. Mechanism Nucleus pulposus bulges posterolaterally Annulus fibrosus weakest posterolaterally Posterior longitudinal ligament also weak Characteristics Acute disorder in younger patients Acute disc rupture leads to immediate radiculopathy III. Causes Cervical compression Axial loading Hyperflexion IV. Symptoms See V. Signs See VI. Management: General s Muscle relaxers

2018 FP Notebook

3. Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner's syndrome: lesson learned from a very unique case. (PubMed)

Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner's syndrome: lesson learned from a very unique case. Cervical spontaneous intradural disc herniation (IDH) is an extremely rare condition. We describe a unique case of a patient presenting with a Brown-Séquard syndrome (BSS) and Horner's syndrome (HS). This study aimed to report an unusual case of spontaneous cervical intradural disc herniation that presented with Horner's and Brown-Séquard syndrome (BSS (...) ) and discuss difficulties in preoperative diagnosis and treatment difficulties of intradural cervical disc.Notes and images review, and analysis of the relevant literature.A 45-year old female presented with acute Horner's syndrome and Brown-Séquard syndrome. The magnetic resonance imaging of cervical spine revealed C4-5 disc extrusion with cord compression. The patient underwent urgent decompression through an anterior cervical corpectomy and fusion. Patient fully recovered 6 months after disease onset.We

2017 European Spine Journal

4. Cervical disc herniation as a trigger for temporary cervical cord ischemia (PubMed)

Cervical disc herniation as a trigger for temporary cervical cord ischemia Disc herniations are only reported in few case reports as a rare cause of acute spinal ischemia. A surgical treatment has not been described so far in these reports with analysis of diffusion weighted magnetic resonance imaging (DWI/MRI) before and after surgery. The aim of our study is to report a case of cervical spinal cord ischemia caused by cervical disc herniation and discuss the literature concerning diagnostic (...) and treatment options.A 72-year-old female patient developed an acute progressive tetraparesis with emphasis on the upper extremities. MRI showed a disc herniation at the cervical segment 5/6 (C5/6) with consecutive spinal canal stenosis and additional signs of spinal cord ischemia in T2-weighted imaging (T2WI) and DWI reaching from C3 to C5 level. With the MRI being highly suggestive for anterior spinal cord ischemia, we hypothesized that this might be caused by compression of the anterior spinal artery

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2016 Journal of Spine Surgery

5. Thalamic Pain Misdiagnosed as Cervical Disc Herniation (PubMed)

Thalamic Pain Misdiagnosed as Cervical Disc Herniation Thalamic pain is a primary cause of central post-stroke pain (CPSP). Clinical symptoms vary depending on the location of the infarction and frequently accompany several pain symptoms. Therefore, correct diagnosis and proper examination are not easy. We report a case of CPSP due to a left acute thalamic infarction with central disc protrusion at C5-6. A 45-year-old-male patient experiencing a tingling sensation in his right arm was referred (...) to our pain clinic under the diagnosis of cervical disc herniation. This patient also complained of right cramp-like abdominal pain. After further evaluations, he was diagnosed with an acute thalamic infarction. Therefore detailed history taking should be performed and examiners should always be aware of other symptoms that could suggest a more dangerous disease.

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2016 The Korean journal of pain

6. Cervical Spine XRay in Disc Herniation

Spine XRay in Disc Herniation Cervical Spine XRay in Disc Herniation Aka: Cervical Spine XRay in Disc Herniation , C-Spine XRay in Herniated Disc II. Indications: Suspected Cervical Disc Herniation Persistent symptoms despite 2 weeks rest Neurologic deficit III. Views Anteroposterior Oblique (shows foramen) IV. Findings: Disc Herniation Chronic disc degenerative disease Decreased disc space height Osteophytes Anteriorly and Posteriorly Encroachment of Osteophytes on foramen Acute disc disease Xray (...) usually normal in acute soft disc rupture V. Precautions Asymptomatic adults have abnormal XRAYs in 35% of cases Good history and examination is diagnostic cornerstone Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Cervical Spine XRay in Disc Herniation." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Radiology About FPnotebook.com

2018 FP Notebook

7. Cervical Disc Herniation Rehabilitation

Cervical Disc Herniation Rehabilitation Cervical Disc Herniation Rehabilitation Aka: Cervical Disc Herniation Rehabilitation From Related Chapters II. Management: General Initiate after acute pain subsides III. Technique: Modalities for acute pain Diathermy or Gentle range of motion and Massage (delay until acute muscle pain resolves) IV. Technique: Graded Isometric Exercise Be gentle Push Head against hand in 3 directions Lateral bending Flexion and Extension Rotation Hold each position for 5 seconds (...) Cervical Disc Herniation Rehabilitation Cervical Disc Herniation Rehabilitation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4

2018 FP Notebook

8. Clinical and magnetic resonance imaging features of compressive cervical myelopathy with traumatic intervertebral disc herniation in cynomolgus macaque (Macaca fascicularis) (PubMed)

Clinical and magnetic resonance imaging features of compressive cervical myelopathy with traumatic intervertebral disc herniation in cynomolgus macaque (Macaca fascicularis) Intervertebral disc herniation (IVDH) with nucleus pulposus extrusion, traumatic or not, is a devastating clinical condition accompanied by neurological problems. Here we report a cynomolgus macaque suffering from acute and progressive neurological dysfunction by a blunt trauma due to neck collar, an animal handling device (...) . Tetraplegia, urinary incontinence, decreased proprioception, and imperception of pain were shown on physical and neurological examinations. MRI sagittal T2 weighted sequences revealed an extensive protrusion of disc material between C2 and C3 cervical vertebra, and this protrusion resulted in central stenosis of the spinal cord. Histopathologic findings showed a large number of inflammatory cells infiltrated at sites of spinal cord injury (SCI). This case is the first report of compressive cervical SCI

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2016 Laboratory animal research

9. An Investigation of the Metal Concentration in Patients Implanted With the PRESTIGE LPâ„¢ Cervical Disc at Two Contiguous Levels in the Cervical Spine

to participate in this study: Has cervical degenerative disc disease at two (2) contiguous cervical levels (from C3 to C7) requiring surgical treatment and involving intractable radiculopathy, myelopathy or both; Has a herniated disc and/or osteophyte formation at each level to be treated that is producing symptomatic nerve root and/or spinal cord compression. The condition is documented by patient history (e.g., neck and/or arm pain, functional deficit and /or neurological deficit), and the requirement (...) An Investigation of the Metal Concentration in Patients Implanted With the PRESTIGE LPâ„¢ Cervical Disc at Two Contiguous Levels in the Cervical Spine An Investigation of the Metal Concentration in Patients Implanted With the PRESTIGE LP™ Cervical Disc at Two Contiguous Levels in the Cervical Spine - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved

2017 Clinical Trials

10. Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy

Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy This clinical guideline should not be construed as including all proper methods of care or excluding or other acceptable methods of care reason- ably directed to obtaining the same results. The ultimate judgment regarding any specific procedure or treatment is to be made by the physi- cian and patient in light of all circumstances presented by the patient and the needs and resources particular to the locality or institution. 1 (...) Introduct Ion /Gu Idel Ine Methodolo Gy Lumbar Disc Herniation with Radiculopathy | NASS Clinical Guidelines NASS Evidence-Based Clinical Guidelines Committee D. Scott Kreiner, MD Committee Chair, Natural History Chair Steven Hwang, MD Diagnosis/Imaging Chair John Easa, MD Medical/Interventional Treatment Chair Daniel K .Resnick, MD Surgical Treatment Chair Jamie Baisden, MD Shay Bess, MD Charles H. Cho, MD, MBA Michael J. DePalma, MD Paul Dougherty, II, DC Robert Fernand, MD Gary Ghiselli, MD Amgad S

2012 North American Spine Society

11. Anterior Techniques in Managing Cervical Disc Disease (PubMed)

Anterior Techniques in Managing Cervical Disc Disease Surgical treatment may be indicated for select patients with cervical disc disease, whether it is cervical disc herniation or spondylosis due to degenerative changes, acute cervical injury due to trauma, or other underlying cervical pathology. Currently, there are various surgical techniques, including anterior, posterior, or combined approaches, in addition to new interventions being utilized in practice. Ideally, the surgical approach (...) should be selected in consideration of each patient's clinical presentation, imaging findings, and overall medical comorbidities on an individual basis. But the unique advantages and disadvantages of each surgical technique often complicate the therapy choice in managing cervical disc diseases. Although anterior cervical discectomy and fusion (ACDF) is the most widely accepted procedure performed for both single and multi-level cervical disc diseases, there are multiple modifications

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2018 Cureus

12. Investigation of the Two Level Simplify® Cervical Artificial Disc

Investigation of the Two Level Simplify® Cervical Artificial Disc Investigation of the Two Level Simplify® Cervical Artificial Disc - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Investigation of the Two (...) Level Simplify® Cervical Artificial Disc The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03123549 Recruitment Status : Active, not recruiting First Posted : April 21, 2017 Last Update Posted : November 14, 2018 Sponsor: Simplify Medical Inc. Information provided by (Responsible Party): Simplify

2017 Clinical Trials

13. Acute Cervical Disc Herniation

Acute Cervical Disc Herniation Acute Cervical Disc Herniation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Cervical Disc (...) Herniation Acute Cervical Disc Herniation Aka: Acute Cervical Disc Herniation , Soft Cervical Disc Protrusion From Related Chapters II. Mechanism Nucleus pulposus bulges posterolaterally Annulus fibrosus weakest posterolaterally Posterior longitudinal ligament also weak Characteristics Acute disorder in younger patients Acute disc rupture leads to immediate radiculopathy III. Causes Cervical compression Axial loading Hyperflexion IV. Symptoms See V. Signs See VI. Management: General s Muscle relaxers

2015 FP Notebook

14. Management and prognosis of acute traumatic cervical central cord syndrome: systematic review and Spinal Cord Society-Spine Trauma Study Group position statement. (PubMed)

regarding management strategy, ten regarding timing of surgery and 12 regarding prognosis of ATCCS.There is reasonable evidence that patients with ATCCS secondary to vertebral fracture, dislocation, traumatic disc herniation or instability have better outcomes with early surgery (< 24 h). In patients of ATCCS secondary to extension injury in stenotic cervical canal without fracture/fracture dislocation/traumatic disc herniation/instability, there is requirement of high-quality prospective randomized (...) Management and prognosis of acute traumatic cervical central cord syndrome: systematic review and Spinal Cord Society-Spine Trauma Study Group position statement. Spinal Cord Society (SCS) and Spine Trauma Study Group (STSG) established a panel tasked with reviewing management and prognosis of acute traumatic cervical central cord syndrome (ATCCS) and recommend a consensus statement for its management.A systematic review was performed according to the PRISMA 2009 guidelines. Delphi method

2019 European Spine Journal

15. Cervical Disc Disease

Imaging findings demonstrate osseous destruction or instability signs Initiate conservative management Relative Rest Consider 1 week of neck immobilization such as in hard (soft collar insufficient) Keeps head slightly flexed or in neutral position Acute disc injury (soft Cervical Disc Herniation) Allows healing of disc Chronic disc disease (hard Cervical Disc Herniation) Allows inflammation around disc to subside Local moist heat and massage Relieves tenderness and muscle pain s Muscle relaxants (e.g (...) Disease Aka: Cervical Disc Disease , Cervical Disc Herniation , Cervical Radiculopathy , Cervical Disc Herniation Management , Cervical Disc Disorder with Radiculopathy From Related Chapters II. Definitions Cervical Radiculopathy Cervical nerve root irritation or compression resulting in upper extremity pain III. Epidemiology (U.S.) Men: 107 per 100,000/year Women: 64 per 100,000/year C5-C6 disc represents 90% of cervical disc lesions C6 nerve root impingement is most common (followed by C7 nerve root

2018 FP Notebook

16. Cervical disc herniation producing acute Brown-Sequard syndrome: dynamic changes documented by intraoperative neuromonitoring. (PubMed)

Cervical disc herniation producing acute Brown-Sequard syndrome: dynamic changes documented by intraoperative neuromonitoring. Brown-Sequard syndrome is an incomplete spinal cord lesion characterized by ipsilateral loss of motor function and contralateral loss of pain and temperature sensitivity, reflecting a hemi-compression or hemi-section of the spinal cord. Cervical disc herniation is an exceptional cause of this syndrome.We report a case of cervical disc herniation causing Brown-Sequard (...) syndrome in a patient with an unusually rapid neurological deterioration associated to cervical extension, which was documented by neuromonitoring.A prompt diagnosis, followed by spinal cord decompression should be warranted. Intraoperative neuromonitoring is a useful tool in preservation of neurologic function in these cases.

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2011 European Spine Journal

17. Cervical Spine XRay in Disc Herniation

Spine XRay in Disc Herniation Cervical Spine XRay in Disc Herniation Aka: Cervical Spine XRay in Disc Herniation , C-Spine XRay in Herniated Disc II. Indications: Suspected Cervical Disc Herniation Persistent symptoms despite 2 weeks rest Neurologic deficit III. Views Anteroposterior Oblique (shows foramen) IV. Findings: Disc Herniation Chronic disc degenerative disease Decreased disc space height Osteophytes Anteriorly and Posteriorly Encroachment of Osteophytes on foramen Acute disc disease Xray (...) usually normal in acute soft disc rupture V. Precautions Asymptomatic adults have abnormal XRAYs in 35% of cases Good history and examination is diagnostic cornerstone Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Cervical Spine XRay in Disc Herniation." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Radiology About FPnotebook.com

2015 FP Notebook

18. Cervical Disc Herniation Rehabilitation

Cervical Disc Herniation Rehabilitation Cervical Disc Herniation Rehabilitation Aka: Cervical Disc Herniation Rehabilitation From Related Chapters II. Management: General Initiate after acute pain subsides III. Technique: Modalities for acute pain Diathermy or Gentle range of motion and Massage (delay until acute muscle pain resolves) IV. Technique: Graded Isometric Exercise Be gentle Push Head against hand in 3 directions Lateral bending Flexion and Extension Rotation Hold each position for 5 seconds (...) Cervical Disc Herniation Rehabilitation Cervical Disc Herniation Rehabilitation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4

2015 FP Notebook

19. The 5-year cost-effectiveness of anterior cervical discectomy and fusion and cervical disc replacement: a Markov analysis. (PubMed)

The 5-year cost-effectiveness of anterior cervical discectomy and fusion and cervical disc replacement: a Markov analysis. A Markov state-transition model was developed to evaluate the cost-effectiveness of anterior cervical discectomy and fusion (ACDF) and cervical disc replacement (CDR) at 5 years.To determine the cost-effectiveness of ACDF and CDR at 5 years.ACDF and CDR are surgical options for the treatment of an acute cervical disc herniation with associated myelopathy/radiculopathy. Cost

2014 Spine

20. Acute Cervical Spontaneous Spinal Epidural Hematoma Presenting with Minimal Neurological Deficits: A Case Report (PubMed)

Acute Cervical Spontaneous Spinal Epidural Hematoma Presenting with Minimal Neurological Deficits: A Case Report Spontaneous spinal epidural hematoma (SSEH) is an uncommon but potentially fatal condition. The increased bleeding tendency associated with anticoagulant medications has been proven to increase the risk of SSEH. The symptoms of SSEH usually begin with sudden severe neck or back pain and are followed by neurological deficits. However, some cases present with only axial pain (...) or with radicular pain similar to herniated disc disorders.A 28-year-old healthy man developed a sudden onset of severe neck and right shoulder pain with mild arm weakness. The MRI revealed an SSEH that was compressing his spinal cord in the right posterolateral epidural space from C2-C6. On the second hospital day, his symptoms suddenly improved, and most of the hematoma had spontaneously resolved.Currently, the incidence of SSEH is expected to increase. Pain physicians must include SSEH in their differential

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2016 Anesthesiology and pain medicine

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