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

Liu, Wanguo; Tang, Cheng‐Lin; Liu, Lidi; Zhu, Qiang; Huang, Lan

doi:10.1007/s00381-015-2886-0

Cited by 7 publications

(6 citation statements)

References 22 publications

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“…Coordinate with previous reports [16, 39–42], narrowing of the involved intervertebral space, flatting and wedging of adjacent vertebral body were observed in the current case at 9-year follow-up. IDC with OPLL in children seemed benign and self-limiting.…”

Section: Discussionsupporting

confidence: 91%

“…Nineteen months after initial diagnosis, restoration of T2-weighted signal intensity of C2/3 and C3/4 discs was observed in the current case through MRI. Similar change was reported by Liu [16], who reported a calcified disc restored to normal T2-weighted signal intensity at 2-year follow-up for a 10-year-old girl. The mechanisms of “rehydration” of the calcified discs are still unclear.…”

Section: Discussionsupporting

confidence: 88%

“…IDC mainly affect 5-to 12-year-old children [15], although newborn infant involvement was reported [7]. Males are more susceptible to IDC than females, with male-to-female ratio 13:6 [15, 16]. IDC mostly occurs in lower cervical spine and upper thoracic spine [17], with the most common level at C6/7 [18, 19].…”

Section: Discussionmentioning

confidence: 99%

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Calcification of the intervertebral disc and ossification of posterior longitudinal ligament in children

Chen

et al. 2018

BMC Musculoskelet Disord

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BackgroundIDC in children, first reported by Baron in 1924, is very rare. OPLL of the cervical spine mainly affect people ages 50–70 years. The coexistence of IDC and OPLL in children is very rare, only six cases with 3 to 24 months’ follow-up were reported to date.Case presentationA 6-year-old boy presented with complains of neck pain at July 2007. The boy was treated by conservative treatment and observed up for 9 years. Neck pain greatly improved after a one-month conservative treatment and never recur. Laboratory tests revealed elevated ESR and CRP at admission and found nothing abnormal at 19-month and 9-year follow-up. Computed tomography and magnetic resonance imaging revealed IDC at C2/3, C3/4 and OPLL at C3/4 at admission and found minor calcification at C2/3 remained but calcification at C3/4 and OPLL at C3/4 completely disappeared at 19-month and 9-year follow-up. Nineteen months after initial diagnosis, restoration of T2-weighted signal intensity of C2/3 and C3/4 discs was observed through MRI. Loss of T2-weighted signal intensity of C2/3 disc and decrease of T2-weighted signal intensity of C3/4 disc was observed at 9-year follow-up.ConclusionsIDC with OPLL in children is very rare. Conservative treatments are recommended with affirmative short-term and long-term clinical effects. More intensive observation with long-term follow-ups may be needed to warrant the clinical effects.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

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Calcification of the intervertebral disc and ossification of posterior longitudinal ligament in children

Chen

et al. 2018

BMC Musculoskelet Disord

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“…Dans la littérature, on ne relève que dix cas d'enfants traités chirurgicalement dont la plupart avant 1980 [ 16 ]. Actuellement l'attitude est beaucoup plus conservatrice accompagnée d'une surveillance de l'évolution symptomatique [ 17 ]. Malgré un très bon pronostic, un cas clinique a été décrit en 2002 mettant en évidence la possibilité de survenue de séquelles au long cours au sein de cette pathologie réputée comme bénigne.…”

Section: Discussionunclassified

Calcifications discales intervertébrales chez l’enfant: à propos de deux cas

Kouamo¹,

Nour²,

Gennar³

et al. 2016

Pan Afr Med J

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Les calcifications discales sont le plus souvent révélées chez l'enfant, par des crises douloureuses rachidiennes. Leur localisation cervicale, semble être la plus fréquente. Cependant, les autres localisations sont moins symptomatiques et pourraient ainsi passer inaperçues. Nous rapportons deux observations d'enfants hospitalisés pour des calcifications discales cervicales symptomatiques. Il s'agit : du cas d'une fillette âgée de quatre ans et demi ayant présenté un torticolis, révélateur de la migration d'une calcification discale jusque-là asymptomatique ; et de celui du garçon âgé de 05 ans venu pour cervicalgie aigue et chez qui une calcification discale a été retrouvée. Leur traitement était essentiellement conservateur. Les calcifications discales intervertébrales de l'enfant sont une pathologie rare dont l'étiopathogénie reste inconnue. Leur diagnostic ne doit pas se faire sans un examen neurologique attentif et une imagerie devant des douleurs rachidiennes inexpliquées chez l'enfant.

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“…Paediatric idiopathic intervertebral disc calcification (PIIDC) is rare with less than 400 cases reported since the first published case in 1924 by Baron et al [1][2][3] The aetiology is unknown. 1 Several hypothesises have been described including minor trauma or a viral infection-induced vasculitis leading to a decreased nutrient supply of the disc.…”

Section: Introductionmentioning

confidence: 99%

Multilevel paediatric idiopathic intervertebral disc calcification: a case study

Grey

2018

SA orthop. j.

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Paediatric idiopathic intervertebral disc calcification (PIIDC) is a rare, mostly self-limiting condition in children that was first described by Baron in 1924. The aetiology is unknown and to date fewer than 400 cases have been described. PIIDC is characterised by calcifications mainly affecting the nucleus pulposus of the intervertebral disc. Most often lesions are located within the lower cervical spine, followed by the thoracic spine. The most common reported symptoms include low grade fever, localised tenderness, torticollis and decreased range of motion of the spine in the affected region. We present a case of multiple level idiopathic intervertebral calcifications in a 12-year-old male. Level of evidence: Level 5Key words: multiple paediatric idiopathic intervertebral disc calcifications, torticollis, nucleus pulposus, annulus fibrosis, calcification Citation: Grey JP, Blake CA. Multilevel paediatric idiopathic intervertebral disc calcification: a case study. SA Orthop J 2018;17(1):61-64. http://dx

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

Abstract: Cervical IDC combined with extreme lateral herniated calcification is extremely rare in children. The recovery of signal intensity of intervertebral disc on MRI may provide further support to the feasibility of conservative treatment of IDC.

Cited by 7 publications

References 22 publications

Calcification of the intervertebral disc and ossification of posterior longitudinal ligament in children

Calcification of the intervertebral disc and ossification of posterior longitudinal ligament in children

Calcifications discales intervertébrales chez l’enfant: à propos de deux cas

Multilevel paediatric idiopathic intervertebral disc calcification: a case study

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