Journal of Spine & Neurosurgery.ISSN: 2325-9701

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Case Report, J Spine Neurosurg Vol: 9 Issue: 5

Myelopathy’s Worsening Due to Adjacent Peroperative Discal Herniatio: Case Report.

Paul ROBLOT1*, Cecile ROSCOP2, Jean-Marc VITAL2, Olivier GILLE2 and Kaissar FARA3

1Neurosurgery Department – CHU Pellegrin, Hôpitaux de Bordeaux, Place Amélie Raba-Léon, Bordeaux, France

2Spine Unit – CHU Pellegrin – Bordeaux, France

3Neurosurgery Department– Assistance Publique des Hopitaux de Marseille–Marseille, France

*Corresponding Author: Paul ROBLOT
Department of Neurosurgery, Hôpital Pellegrin
Centre Hospitalier Universitaire de Bordeaux
Place Amélie Raba-Léon, 33000 Bordeaux, France
Tel: +33-5-56-95-54-43
Fax: +33-5-57-82-14-19
E-mail: [email protected]

Received: March 13, 2020 Accepted: April 23, 2020 Published: April 30, 2020

Citation: ROBLOT P, ROSCOP C, VITAL JM, GILLE O, FARA K (2020) Myelopathy’s Worsening Due to Adjacent Peroperative Discal Herniatio: Case Report. J Spine Neurosurg 9:2.

Abstract

We report the case of a 62-old patient who suffered from immediate post-operative cervical spondylotic myelopathy’s worsening. This is a rare complication due to patient positioning the most often. This case seems to be the first case due to a disk herniation described to the best of our knowledge. This patient was operated by C4 and C5 corpectomy because of a spinal cord compression associated with intra-medullary T2-weighted hyper signal. Neurological worsening with immediate motor deficit was noted in postoperative care unit. An immediate cervical spine MRI scan was done showing a discal fragment at C6-C7 level. Emergency surgery was so performed with a C6-C7 transdiscal way for resection of a compressive cervical herniation. During the immediate postoperative outcome, the neurological enhancing was subtotal. We think that emergency MRI scan is mandatory for immediate postoperative neuroworsening after anterior cervical spine surgery instead of emergency surgery if neuroworsening is not tetraplegia in order to avoid a diagnosis misunderstanding. 

Keywords: Peroperative adjacent herniation; Emergency MRI, Incomplete postoperative neuroworsening

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