Haydarpasa Numune Med J. Ahead of Print: HNHJ-94758 | DOI: 10.14744/hnhj.2024.94758

Relationship Between Clinical Symptoms and MRI Findings in Patients with Cervical Degenerative Disc Disease

Ahmet Mert¹, Gökçe Zeytin Demiral², Selin Betaþ Akýn³, Zehra Özbilici², Emine Avcý Hüseyinoðlu⁴, Ülkü Türk Börü^2
1Department of Neurology, Karaman Training and Research Hospital, Karaman, Turkey
²Department of Neurology, School of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
³Department of Neurology, Afyonkarahisar State Hospital, Afyonkarahisar, Turkey
⁴Department of Neurology, Ünye State Hospital, Ordu, Turkey

INTRODUCTION: Degenerative cervical disc disease is a disorder that often presents with various symptoms and diagnose is frequently uneasy.The aim of this study is to identify the symptoms of degenerative cervical disc disease and evaluate the relationship between symptoms and radiological findings.
METHODS: The study designed as cross-sectional and observational study,55 consecutive patients with diagnosed with degenerative cervical disc disease is included to the study.The symptoms were recorded, and the relationship between cervical MRI findings and symptoms was investigated.

RESULTS: A total of 55 patients were included in the study. 32 (58.2%) patients were female and 23 (41.8%) were male, with a mean age of the patients were 56.3 ± 12.9 years. Cervicogenic headache (27.3%), retroorbital pain (20%), tinnitus (3.6%), trigeminal neuralgia (14.5%), dizziness (14.5%), neck pain (89.1%), restricted neck movement (83.6%), neck paresthesia (14.5%), shoulder pain (36.3%), restricted shoulder movement (16.3%), shoulder weakness (12.7%), pain radiating to the upper extremity (41.8%), sensory deficit in the upper extremity (18.2%), weakness in the upper extremity (9.1%), and back pain (34.5%) were recored in the patients. The most remarkable finding in patients with pathology at the C2-C4 level was trigeminal neuralgia, while trigeminal neuralgia was not observed in patients with pathology at the C4-C8 level. Dizziness, neck pain, and restricted neck movement were common symptoms, with sensory and motor symptoms predominating in lower cervical signs. Statistically significant higher rates of upper cervical symptoms were recored in radiological grade 2 and 3 changes, while lower cervical symptoms were significantly higher in grade 3 and 4 changes.

DISCUSSION AND CONCLUSION: The most common degenerative finding observed in patients was located in the middle cervical region. Neck pain was the most frequently reported symptom.The most remarkable unusual finding was trigeminal neuralgia. Trigeminal neuralgia was observed in upper cervical discopathies. Symptoms were recored to be associated with the severity of radiological findings.

Keywords: Cervical discopathy, symptoms, upper cervical MRI findings

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Servikal Dejeneratif Disk Hastalýðý Olan Hastalarda Klinik Belirtiler ile MR Bulgularý Arasýndaki Ýliþki

Ahmet Mert¹, Gökçe Zeytin Demiral², Selin Betaþ Akýn³, Zehra Özbilici², Emine Avcý Hüseyinoðlu⁴, Ülkü Türk Börü^2
1Karaman Eðitim ve Araþtýrma Hastanesi, Nöroloji Kliniði, Karaman, Türkiye
²Afyonkarahisar Saðlýk Bilimleri Üniversitesi, Týp Fakültesi, Nöroloji Anabilim Dalý, Afyonkarahisar, Türkiye
³Afyonkarahisar Devlet Hastanesi, Nöroloji Kliniði, Afyonkarahisar, Türkiye
⁴Ünye Devlet Hastanesi, Nöroloji Kliniði, Ordu, Türkiye

GÝRÝÞ ve AMAÇ: Dejeneratif servikal disk hastalýðý sýklýkla çeþitli semptomlarla ortaya çýkan ve tanýsý zor olan bir hastalýktýr. Bu çalýþmanýn amacý dejeneratif servikal disk hastalýðýnýn semptomlarýný tanýmlamak ve semptomlar ile radyolojik bulgular arasýndaki iliþkiyi deðerlendirmektir.

YÖNTEM ve GEREÇLER: Kesitsel ve gözlemsel çalýþma olarak tasarlanan çalýþmada, dejeneratif servikal disk hastalýðý tanýsý alan ardýþýk 55 hasta çalýþmaya dahil edildi. Semptomlar deðerlendirilerek servikal MRG bulgularý ile semptomlar arasýndaki iliþki araþtýrýldý
BULGULAR: Çalýþmaya toplam 55 hasta dahil edildi. Hastalarýn 32'si (%58,2) kadýn, 23'ü (%41,8) erkek olup, hastalarýn yaþ ortalamasý 56,3±12,9 yýl idi. Servikojenik baþ aðrýsý (%27,3), retroorbital aðrý (%20), kulak çýnlamasý (%3,6), trigeminal nevralji (%14,5), baþ dönmesi (%14,5), boyun aðrýsý (%89,1), boyun hareketlerinde kýsýtlýlýk (%83,6), boyun parestezisi (%14,5), omuz aðrýsý (%36,3), omuz hareketlerinde kýsýtlýlýk (%16,3), omuz güçsüzlüðü (%12,7), üst ekstremiteye yayýlan aðrý (%41,8), üst ekstremitede duyu kaybý (%18,2), güçsüzlük Hastalarda üst ekstremite (%9,1) ve sýrt aðrýsý (%34,5) kaydedildi. Patolojisi C2-C4 düzeyinde olan hastalarda en dikkat çekici bulgu trigeminal nevralji iken, C4-C8 düzeyinde patolojisi olan hastalarda trigeminal nevralji görülmedi. Baþ dönmesi, boyun aðrýsý ve boyun hareketlerinde kýsýtlýlýk yaygýn görülen semptomlardý; alt servikal belirtilerde duyusal ve motor semptomlar baskýndý. Radyolojik olarak 2. ve 3. derece deðiþikliklerde üst servikal semptomlarýn istatistiksel olarak anlamlý derecede yüksek olduðu kaydedilirken, 3. ve 4. derece deðiþikliklerde alt servikal semptomlar anlamlý derecede daha yüksekti.

TARTIÞMA ve SONUÇ: Hastalarda en sýk gözlenen dejeneratif bulgu orta servikal bölgede yerleþmiþtir. Boyun aðrýsý en sýk bildirilen semptomdu. En dikkat çekici olaðandýþý bulgu trigeminal nevraljiydi. Üst servikal diskopatilerde trigeminal nevralji gözlendi. Semptomlarýn radyolojik bulgularýn ciddiyeti ile iliþkili olduðu kaydedildi.

Anahtar Kelimeler: Servikal diskopati, semptomlar, üst servikal MR bulgularý

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