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[Giant cervical disc herniation: case report].
F L Dantas1, W J Fagundes-Pereyra, D L Rocha
1Biocor Instituto e Santa Casa de Belo Horizonte, MG, Brasil.
Arquivos De Neuro-Psiquiatria
|July 21, 1999
Summary
A giant cervical disc herniation in a 72-year-old male patient was successfully treated with microsurgical anterior decompression. This case highlights a new classification for disc herniation based on dural compression severity.
Area of Science:
- Neurosurgery
- Spinal Surgery
Background:
- Disc herniation is a common neurosurgical condition.
- Cervical spine disc herniations represent a significant subset of these surgeries.
Observation:
- A 72-year-old male presented with tetraparesis, sensory loss below C5, and urinary retention due to a giant C4-C5 disc herniation.
- The patient underwent microsurgical anterior decompression and internal fixation using an iliac bone graft, following the Cloward technique without plate fixation.
Findings:
- The patient experienced a satisfactory outcome following the surgical intervention.
- A novel classification for disc herniation is proposed, categorizing by dural compression: small (≤12%), medium (12-25%), big (25-50%), and giant (>50%).
Implications:
- This case demonstrates the efficacy of anterior decompression and fusion for managing giant cervical disc herniations.
- The proposed classification may aid in standardizing the description and management of disc herniations based on their severity of dural compromise.