High cervical disc herniation presenting with C-2 radiculopathy. Case report and review of the literature.
The authors report the case of a 78-year-old man with a C2-3 disc herniation that had migrated rostrally, causing C-2 radiculopathy. The C-2 radiculopathy manifested immediately after the patient underwent placement of a ventriculoperitoneal shunt for normal-pressure hydrocephalus. Myelography and computerized tomography scanning of the cervical spine revealed an extradural lesion anterolateral to the thecal sac eccentric to the right. The patient underwent a C1-3 laminectomy, C-2 nerve root decompression, and excision of the lesion. Postoperatively the patient's radiculopathy resolved completely. To the authors' knowledge, this is the first case of a C2-3 disc herniation manifesting as C-2 radiculopathy and treated via a posterior extradural approach.
Deshmukh
Vivek R
VR
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Rekate
Harold L
HL
Sonntag
Volker K H
VK
D000368:Aged; D002574:Cervical Vertebrae; D019299:Decompression, Surgical; D006801:Humans; D006850:Hydrocephalus, Normal Pressure / Q000150:complications / Q000601:surgery; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D007796:Laminectomy; D008297:Male; D009192:Myelography; D011843:Radiculopathy / Q000209:etiology*; D013126:Spinal Nerve Roots / Q000601:surgery; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt