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Cervical Disk Calcification in Childhood

Cervical Disk Calcification in Childhood Cervical Disk Calcification in Childhood William G. Peacher , M.D. and Richard P. Storrs , M.D. Medical Arts Bldg. Syracuse 2. N. Y. Medical Arts Bldg. Syracuse 2. N. Y. Excerpt Calcification of the cervical intervertebral disks is relatively uncommon. It is usually observed in childhood. The incidence, etiology, anatomy, and physiology have been thoroughly reviewed by Weens (3) and Silverman (2). The latter collected 5 cases previously recorded in the literature, adding 2 of his own. We have felt it worthwhile to report an additional example to call further attention to the problem. Our case is of interest also because of the long follow-up (almost three years). Case Report2 F. D., a 5-year-old boy, was admitted to St. Joseph's Hospital on Nov. 17, 1952, because of pain of three days duration over and to the right of the posterior cervical spine, following a fall from a sofa. There were associated burning in the right pharynx and discomfort on attempted movement of the neck to the right. The patient was born in St. Joseph's Hospital at term (breech delivery) on Nov. 26, 1947. Mild atelectasis was present but improved on conservative treatment. A roentgenogram taken on Dec. 1, 1947, revealed a slight mediastinal shift with narrowing of the trachea. N0 calcification of the cervical intervertebral disks was noted. From March 27 through April 2, 1949, the child was hospitalized for diarrhea and marked dehydration, attributed to acute enterocolitis. There was moderate elevation of temperature for a period of five days, with a peak of 102.4°. Recovery, on a conservative regime, was uneventful. The developmental history was within normal limits, with an average of one attack of tracheitis and upper respiratory infection per year, lasting for about a week. In the course of one of these episodes, in July 1952, pain was experienced over the right side of the neck. Examination was negative, however, aside from cervical lymphadenopathy and dental caries. Three teeth were extracted and the symptoms abated in a week. A similar episode occurred on Nov. 1 of the same year, again with cervical adenitis and a temperature of 102°, but with tonsillitis and herpes labialis in addition. Antibitiotic therapy led to rapid improvement, and the boy returned to school on Nov. 10. The parents, mother aged thirty-three and father thirty-nine, and one sibling, a girl of two and a half, were in good health. The familial historv was not significant. Physical examination showed marked limitation of motion of the cervical spine in all directions except to the left. There was pain on palpation over and to the right of the intervertebral spaces from C-3 to C-7. Dental caries was evident and an acute tonsillitis was present. There was slight cranial asymmetry, with flattening of the right frontal and facial bones, but the latter did not constitute a true facial hemiatrophy. Otherwise the physical and neurologic findings were essen bally negative. There was no febrile reaction and the vital signs were consistently normal. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Radiology Radiological Society of North America, Inc.

Cervical Disk Calcification in Childhood

Peacher, William G.; Storrs, Richard P.
Radiology , Volume 67 (3): 396 – Sep 1, 1956
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Publisher
Radiological Society of North America, Inc.
Copyright
Copyright © 1956 by Radiological Society of North America
ISSN
1527-1315
eISSN
0033-8419
DOI
10.1148/67.3.396
pmid
13359720
Publisher site
See Article on Publisher Site

Abstract

Cervical Disk Calcification in Childhood William G. Peacher , M.D. and Richard P. Storrs , M.D. Medical Arts Bldg. Syracuse 2. N. Y. Medical Arts Bldg. Syracuse 2. N. Y. Excerpt Calcification of the cervical intervertebral disks is relatively uncommon. It is usually observed in childhood. The incidence, etiology, anatomy, and physiology have been thoroughly reviewed by Weens (3) and Silverman (2). The latter collected 5 cases previously recorded in the literature, adding 2 of his own. We have felt it worthwhile to report an additional example to call further attention to the problem. Our case is of interest also because of the long follow-up (almost three years). Case Report2 F. D., a 5-year-old boy, was admitted to St. Joseph's Hospital on Nov. 17, 1952, because of pain of three days duration over and to the right of the posterior cervical spine, following a fall from a sofa. There were associated burning in the right pharynx and discomfort on attempted movement of the neck to the right. The patient was born in St. Joseph's Hospital at term (breech delivery) on Nov. 26, 1947. Mild atelectasis was present but improved on conservative treatment. A roentgenogram taken on Dec. 1, 1947, revealed a slight mediastinal shift with narrowing of the trachea. N0 calcification of the cervical intervertebral disks was noted. From March 27 through April 2, 1949, the child was hospitalized for diarrhea and marked dehydration, attributed to acute enterocolitis. There was moderate elevation of temperature for a period of five days, with a peak of 102.4°. Recovery, on a conservative regime, was uneventful. The developmental history was within normal limits, with an average of one attack of tracheitis and upper respiratory infection per year, lasting for about a week. In the course of one of these episodes, in July 1952, pain was experienced over the right side of the neck. Examination was negative, however, aside from cervical lymphadenopathy and dental caries. Three teeth were extracted and the symptoms abated in a week. A similar episode occurred on Nov. 1 of the same year, again with cervical adenitis and a temperature of 102°, but with tonsillitis and herpes labialis in addition. Antibitiotic therapy led to rapid improvement, and the boy returned to school on Nov. 10. The parents, mother aged thirty-three and father thirty-nine, and one sibling, a girl of two and a half, were in good health. The familial historv was not significant. Physical examination showed marked limitation of motion of the cervical spine in all directions except to the left. There was pain on palpation over and to the right of the intervertebral spaces from C-3 to C-7. Dental caries was evident and an acute tonsillitis was present. There was slight cranial asymmetry, with flattening of the right frontal and facial bones, but the latter did not constitute a true facial hemiatrophy. Otherwise the physical and neurologic findings were essen bally negative. There was no febrile reaction and the vital signs were consistently normal.

Journal

Radiology – Radiological Society of North America, Inc.

Published: Sep 1, 1956

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