ArticleCureus2025
Unveiling the Silent Threat of Upper Cervical Disc Herniation: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Traumatic herniations of the upper cervical spine are rare, with a higher likelihood of occurrence in older individuals. Their associated neurological symptoms can vary widely, often leading to delays in clinical diagnosis. We report the case of an 86-year-old man who developed neurological symptoms after a fall. Initially, intracranial pathology was suspected, and a head magnetic resonance imaging (MRI) revealed small chronic subdural hematomas, which were managed conservatively. However, as his paralysis progressed over the following days, a repeat brain CT showed no significant changes. Suspecting cervical spine involvement, further imaging identified a C2/3 disc herniation. The patient underwent emergency cervical laminoplasty, but postoperative subluxation required additional surgery, including C1-3 posterior fusion and C2/3 anterior fusion. Post-surgery, the patient exhibited improvement in paralysis affecting both the upper and lower extremities and a reduction in sensory deficits. Early diagnosis and treatment are crucial to improve neuropathic outcomes. A thorough understanding of the symptoms and characteristics of neurological damage to the upper cervical spine can significantly contribute to favorable results. Clinicians should be well-acquainted with this pathological condition.
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