A Case of Cervical Disc Herniation Complicated by Central Cord Syndrome.

Shu, Jung Keun; Rim, Chang Soo; Chu, Jeong Wha; Lee, Ki Chan

Original Article

Journal of Korean Neurosurgical Society 1978;7(1): 121-128.

Jung Keun Shu, Chang Soo Rim, Jeong Wha Chu, Ki Chan Lee

Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea.

ABSTRACT

We have recently managed a patient, 31-year-old male, who has been in the state of inferior paraparesis due to cervical disc herniation. The centrally herniated disc material was removed through the posterior approach to the lesion under the general anesthesia in left lateral position. Two days after the operation with removal of herniated disc at C5-6interspace, the subject developed quadriparesis and difficulty in urination in which the weakness of upper extremities were more severe that of the lower extremities. The signs developed postoperatively were very much compatible with those of central cord syndrome, There was improving after the removal of the hematoma and of additional herniated material at second operation which was forced to be done due to development of central cord syndrome in severe degree following the primary surgery. Recovery from neurological dysfunction in order of good and better improvement was of leg, arm, voiding and finger.