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The patient came to the
clinic 04-April-2005 complaining of neck and
left shoulder pain for nine months with
exacerbation last month with cephalic syndrome. |
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MRI performed 01-July-2004
showed PCD C5-6 with left partial foraminal occlusion. |
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On examination: the patient
had weak extension of the left hand the
weak left triceps muscle 4/5. The patient had
pain when looking up and bending the head to
the left with agonizing pain with sleep
disturbances due to pain. |
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The patient managed herself
conservatively and was in good condition, until
she came 28-August-2008 with severe agonizing
neck pain for 2 months shooting to the right
upper limb. |
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MRI of the cervical spine
performed 28-August-2008 showed de novo PCD C6-7
with occlusion of the right foramen and
shrinkage of the previous disc at C5-6. |
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On examination: the patient
in agonizing pain, preventing her from sleep for
several days. There is weak grip and extension
of the right hand and the right triceps muscle
-4/5. There is numbness of the entire right hand
with hypalgesia of the median territory of the
right hand. |
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Anterior approach with
discectomy of C6-7 was done under
image-intensifier. The extruded material was
removed in several pieces. |
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Routine closure of the wound
and smooth postoperative recovery with
normalization of the power of the right upper
limb. |
