Clinical Symptoms of Internal Disc Disruption of the Cervical Spine.
- Author:
Chul Hyung KANG
1
;
Si Hyun JEON
;
Hyuck LEE
Author Information
- Publication Type:Original Article
- Keywords: Cervical spine; Internal disc disruption; Clinical symptoms
- MeSH: Arm; Chin; Diagnosis; Forearm; Hand; Headache; Humans; Magnetic Resonance Imaging; Neck Pain; Pain, Intractable; Pain, Referred; Paresthesia; Retrospective Studies; Shoulder Pain; Sleep Initiation and Maintenance Disorders; Spine*; Tinnitus; Upper Extremity
- From:Journal of Korean Society of Spine Surgery 2002;9(1):48-53
- CountryRepublic of Korea
- Language:Korean
- Abstract: STUDY DESIGN: This study reviewed 20 patients who were diagnosed as internal disc disruption (IDD) of the cervical spine. Clinical symptoms were analyzed retrospectively. OBJECTIVES: To assess the various symptoms of IDD of the cervical spine. Summary of Literature Review : Several studies have demonstrated the symptoms of lumbar spine IDD. No studies have attempted to show the symptoms of cervical spine IDD. MATERIALS AND METHODS: A group of patients, who showed chronic neck pain and referred pain to upper limbs after a certain trauma, was materials of this study. All these patients were examined with simple X-ray, flexion-extension views, magnetic resonance image (MRI). When intractable pain was prolonged over 6months in spite of conservative treatment, patient was admitted and performed discogram and computed tomograpy (CT) for a definite diagnosis. There were 20 patients who were diagnosed as IDD from July 1996 to June 2001, and clinical symptoms were analyzed retrospectively. RESULTS: The various symptoms of the IDD of the cervical spine were chronic neck pain (100%), shoulder pain (95%), headache (90%), interscapular pain (80%), arm pain and paresthesia (75%), insomnia (75%), hand pain and paresthesia (60%), periocular pain (60%), forearm pain and paresthesia (50%), chin pain (50%), subjective weakness of upper extremity (45%), periauricular pain (40%) and tinnitus (30%). CONCLUSION: We are led to believe that patients who have chronic neck pain, shoulder pain, interscapluar pain, and other symptoms after a certain trauma of cervical spine are clinically diagnosed as IDD of the cervical spine, although X-ray and MRI are normal. Definite diagnosis of these patients would be made by a discogram, if similar or identical pain is provocated.
