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Single Cell Measurements of Vacuolar Rupture Caused by Intracellular Pathogens
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Sudden Paraplegia Caused by Nontraumatic Cervical Disc Rupture: A Case Report.

Sung Min Kim1, Byeong Sam Choi1, Sungjoon Lee1

  • 1Department of Neurosurgery, Inje University Haeundae Paik Hospital, Busan, Korea.

Korean Journal of Spine
|January 5, 2018
PubMed
Summary
This summary is machine-generated.

Sudden cervical disc rupture can cause acute paraplegia. Prompt diagnosis and emergency surgery, including anterior cervical discectomy and fusion, led to significant motor function recovery in a rare case.

Keywords:
Cervical discDisc herniationDisc ruptureNontraumaticParaplegia

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Area of Science:

  • Neurology
  • Neurosurgery
  • Spinal Cord Medicine

Background:

  • Nontraumatic cervical disc rupture is a rare cause of acute spinal cord compression.
  • Sudden onset paraplegia necessitates urgent medical evaluation and intervention.

Purpose of the Study:

  • To report a rare case of acute paraplegia caused by a nontraumatic cervical disc rupture.
  • To highlight the importance of immediate diagnosis and surgical decompression for favorable outcomes.

Main Methods:

  • A 38-year-old male presented with acute paraplegia and posterior neck pain.
  • Cervical magnetic resonance imaging (MRI) revealed a large C5-6 disc rupture with severe spinal cord compression.
  • Emergency anterior cervical discectomy and fusion were performed, followed by laminoplasty due to cord swelling.

Main Results:

  • Postoperative MRI showed extensive cord swelling, necessitating a secondary surgery (laminoplasty).
  • At 8-month follow-up, motor power improved significantly in both upper (grade III-IV) and lower extremities (grade IV).

Conclusions:

  • Nontraumatic cervical disc rupture can lead to acute paraplegia, though rare.
  • Timely neurological assessment, advanced imaging (MRI), and emergency surgical decompression are critical for good neurological recovery.