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KMID : 1141120230090020184
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The Nerve
2023 Volume.9 No. 2 p.184 ~ p.188
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Non-Traumatic Cervical Disc Herniation Presented as Sudden Paralysis of the Limbs: Two Case Reports
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Hong Jeong-Ju
Jwa Cheol-Su
Kim Jae-Hoon
Kang Hee-In
Bae In-Suk
Kwon Hyung-Joo
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Abstract
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We report two uncommon cases of non-traumatic, acute cervical disc herniation presented with sudden paralysis of the limbs. First, a 61-year-old man presented with sudden quadriplegia while resting on the bed 2 hr ago. He had motor weakness of grade 3 in the upper arms and grade 0 in the lower legs. Magnetic resonance imaging (MRI) of the cervical spine showed severe spinal cord compression caused by huge soft central disc herniation at the C6-7 level. After surgery, the paralysis of the upper arms improved, but the paralysis of the lower legs and sphincter functions did not improve. Second, a 65-year-old woman presented with acute right hemiparesis just after waking up in the morning 3 hr ago. She had motor weakness of grade 3 of the right upper arm and grade 2 of the right lower leg. MRI of the cervical spine showed severe cord compression by the right-sided, superiorly migrated soft disc herniation at the C6-7 level. After surgery, she recovered completely and could walk independently.
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KEYWORD
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Intervertebral disc displacement, Paralysis, Spinal cord compression
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