Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2318
Peer-review started: February 21, 2020
First decision: April 24, 2020
Revised: April 26, 2020
Accepted: May 14, 2020
Article in press: May 14, 2020
Published online: June 6, 2020
Chronic neck pain is a common clinical problem. It has long been considered that degenerative cervical disc is an important source of chronic neck pain. In the clinic, cervical discography is thought to be a useful and safe method to distinguish aging discs from pathological discs, and the probability of complications caused by it is really rare. However, once complication occurs, it is likely to cause fatal consequences to patients. Therefore, accurate judgment and effective treatment are crucial.
A 45-year-old female was admitted to the department with a 5-year history of severe neck pain, dizziness, and tinnitus. In order to find the diseased disc, analgesic discography was performed on C4/5 and 6/7 discs successively. Unfortunately, Discitis with an epidural abscess was caused during the procedures. With the help of magnetic resonance imaging, an accurate diagnosis was made and an urgent anterior cervical operation was given subsequently. The patient ultimately recovered well.
Discitis with epidural abscess is a rare complication after cervical discography, which needs accurate diagnosis and effective antibiotic treatment.
Core tip: Discitis with epidural abscess is an infrequent complication after cervical discography, which may cause incalculable damage to patients. Therefore, rapid diagnosis and effective treatment are extremely significant.