Cervical intervertebral disc calcification with extreme lateral herniation in a child: T2-weighted signal intensity of the involved disc can be restored to normal

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Wanguo LiuLan Feng Huang

Abstract

The purpose of this case report is to present a very atypical case of cervical intervertebral disc calcification (IDC) with extreme lateral herniated calcification in a child. This is the first ever reported case in which T2-weighted signal intensity of the involved disc was restored to normal after a 2-year follow-up. A 10-year-old girl presented with neck pain and right upper limb numbness for 2 months. The initial computed tomography (CT) images on admission showed calcified nucleus pulposus with extreme lateral herniated calcification at the C6-C7 level. Meanwhile, T2-weighted magnetic resonance imaging (MRI) revealed decreased signal intensity of the involved disc. The patient was treated conservatively with nonsteroidal anti-inflammatory drugs and jaw-occipital belt traction for 2 weeks. The cervical CT and MRI scans were repeated at 2-year follow-up. Her clinical symptoms were completely resolved after 2 weeks. At 2-year follow-up, CT and MRI images demonstrated that calcification was completely absorbed and T2-weighted signal intensity of the C6-C7 disc was restored back to normal. Cervical IDC combined with extreme lateral herniated calcification is extremely rare in children. The recovery of signal intensity of interv...Continue Reading

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Citations

Apr 26, 2019·Journal of Pediatric Orthopedics. Part B·Valentino CoppaNicola Specchia
Nov 24, 2018·The Journal of Pediatrics·Molly J DushnickyAbhaya V Kulkarni

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