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Cervical Radiculopathy Due to Disc Herniation with Adjacent Facet Hypertrophy: Case Report

We report a rare case of cervical radiculopathy associated with facet hypertrophy and disc herniation. The patient was a 38-year-old woman with sudden-onset left arm pain. As conservative therapy failed to alleviate her symptoms she was referred to us. On physical examination she manifested no neuro...

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Autores principales: YAMAHATA, Hitoshi, YASUDA, Muneyoshi, AOYAMA, Tatsuro, OSUKA, Koji, ARITA, Kazunori, TAKAYASU, Masakazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533374/
https://www.ncbi.nlm.nih.gov/pubmed/24477059
http://dx.doi.org/10.2176/nmc.cr.2013-0130
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author YAMAHATA, Hitoshi
YASUDA, Muneyoshi
AOYAMA, Tatsuro
OSUKA, Koji
ARITA, Kazunori
TAKAYASU, Masakazu
author_facet YAMAHATA, Hitoshi
YASUDA, Muneyoshi
AOYAMA, Tatsuro
OSUKA, Koji
ARITA, Kazunori
TAKAYASU, Masakazu
author_sort YAMAHATA, Hitoshi
collection PubMed
description We report a rare case of cervical radiculopathy associated with facet hypertrophy and disc herniation. The patient was a 38-year-old woman with sudden-onset left arm pain. As conservative therapy failed to alleviate her symptoms she was referred to us. On physical examination she manifested no neurological deficits except pain and dysesthesia in the left C7 territory. Computed tomography revealed hypertrophic ossified changes in the left T1 facet joint with encroachment on the spinal canal. Magnetic resonance imaging showed compression of the spinal cord at C6/7 by disc herniation at C6/7. Anterior cervical decompression and fusion by corpectomy (C7 corpectomy and C6/T1 fixation with a titanium cage) ameliorated her pain. Facet hypertrophy in a morphologically normal cervicothoracic spine is extremely rare and its etiology is unknown. We speculate the possibility that our patient harbored a congenital anomaly and that the morphologic changes were the consequence of an injury she sustained in a traffic accident.
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spelling pubmed-45333742015-11-05 Cervical Radiculopathy Due to Disc Herniation with Adjacent Facet Hypertrophy: Case Report YAMAHATA, Hitoshi YASUDA, Muneyoshi AOYAMA, Tatsuro OSUKA, Koji ARITA, Kazunori TAKAYASU, Masakazu Neurol Med Chir (Tokyo) Case Report We report a rare case of cervical radiculopathy associated with facet hypertrophy and disc herniation. The patient was a 38-year-old woman with sudden-onset left arm pain. As conservative therapy failed to alleviate her symptoms she was referred to us. On physical examination she manifested no neurological deficits except pain and dysesthesia in the left C7 territory. Computed tomography revealed hypertrophic ossified changes in the left T1 facet joint with encroachment on the spinal canal. Magnetic resonance imaging showed compression of the spinal cord at C6/7 by disc herniation at C6/7. Anterior cervical decompression and fusion by corpectomy (C7 corpectomy and C6/T1 fixation with a titanium cage) ameliorated her pain. Facet hypertrophy in a morphologically normal cervicothoracic spine is extremely rare and its etiology is unknown. We speculate the possibility that our patient harbored a congenital anomaly and that the morphologic changes were the consequence of an injury she sustained in a traffic accident. The Japan Neurosurgical Society 2014-09 2014-01-28 /pmc/articles/PMC4533374/ /pubmed/24477059 http://dx.doi.org/10.2176/nmc.cr.2013-0130 Text en © 2014 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
YAMAHATA, Hitoshi
YASUDA, Muneyoshi
AOYAMA, Tatsuro
OSUKA, Koji
ARITA, Kazunori
TAKAYASU, Masakazu
Cervical Radiculopathy Due to Disc Herniation with Adjacent Facet Hypertrophy: Case Report
title Cervical Radiculopathy Due to Disc Herniation with Adjacent Facet Hypertrophy: Case Report
title_full Cervical Radiculopathy Due to Disc Herniation with Adjacent Facet Hypertrophy: Case Report
title_fullStr Cervical Radiculopathy Due to Disc Herniation with Adjacent Facet Hypertrophy: Case Report
title_full_unstemmed Cervical Radiculopathy Due to Disc Herniation with Adjacent Facet Hypertrophy: Case Report
title_short Cervical Radiculopathy Due to Disc Herniation with Adjacent Facet Hypertrophy: Case Report
title_sort cervical radiculopathy due to disc herniation with adjacent facet hypertrophy: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533374/
https://www.ncbi.nlm.nih.gov/pubmed/24477059
http://dx.doi.org/10.2176/nmc.cr.2013-0130
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