Skip to main content
Top
Published in: Skeletal Radiology 8/2013

01-08-2013 | Case Report

Calcific discitis in an adult patient with intravertebral migration and spontaneous remission

Authors: Marcello H. Nogueira-Barbosa, Carlos Fernando Pereira da Silva Herrero, Wagner Pasqualini, Helton Luiz Aparecido Defino

Published in: Skeletal Radiology | Issue 8/2013

Login to get access

Abstract

Symptomatic disc calcifications have been reported, especially in the pediatric population, and remain of unknown etiology. Such a condition has been very rarely reported in adults. The aim of this paper is to present a case report of calcific discitis in an adult patient with intravertebral migration and spontaneous calcification resorption. The clinical presentation was that of back pain with an abrupt onset, not related to trauma or to physical activity. No fever or neurological deficits were present. Blood count, erythrocyte sedimentation rate, routine urine, and urine culture were negative. The pain regressed in 20 days with analgesic therapy. Findings of thoracic calcific discitis are illustrated with X-rays, CT, MRI, and bone scintigraphy.
Literature
1.
go back to reference Bywaters EG, Hamilton EB, Willians R. The spine in idiopathic haemocromatosis. Ann Rheum Dis. 1971;30:453–65.PubMedCrossRef Bywaters EG, Hamilton EB, Willians R. The spine in idiopathic haemocromatosis. Ann Rheum Dis. 1971;30:453–65.PubMedCrossRef
2.
go back to reference Cohen JA, Abraham E. The calcified intervertebral disc. J Med Soc NJ. 1973;70:459–60. Cohen JA, Abraham E. The calcified intervertebral disc. J Med Soc NJ. 1973;70:459–60.
3.
go back to reference Weinberger A, Myers AR. Intervertebral disc calcification in adults: a review. Semin Arthritis Rheum. 1987;8:69–75.CrossRef Weinberger A, Myers AR. Intervertebral disc calcification in adults: a review. Semin Arthritis Rheum. 1987;8:69–75.CrossRef
4.
go back to reference Chanchairujira K, Chung CB, Kim JY, Papakonstantinou O, Lee MH, Clopton P, et al. Intervertebral disk calcification of the spine in an elderly population: radiographic prevalence, location and distribution and correlation with spinal degeneration. Radiology. 2004;230:499–503.PubMedCrossRef Chanchairujira K, Chung CB, Kim JY, Papakonstantinou O, Lee MH, Clopton P, et al. Intervertebral disk calcification of the spine in an elderly population: radiographic prevalence, location and distribution and correlation with spinal degeneration. Radiology. 2004;230:499–503.PubMedCrossRef
5.
go back to reference Sonnabend DH, Taylor TKF, Chapman GK. Intervertebral disc calcification syndromes in children. J Bone Joint Surg. 1982;64-B:25–31. Sonnabend DH, Taylor TKF, Chapman GK. Intervertebral disc calcification syndromes in children. J Bone Joint Surg. 1982;64-B:25–31.
6.
go back to reference Swischuk LE, Jubang M, Jadhav S. Calcific discitis in children: vertebral body involvement (possible insight into etiology). Emerg Radiol. 2008;15:427–30.PubMedCrossRef Swischuk LE, Jubang M, Jadhav S. Calcific discitis in children: vertebral body involvement (possible insight into etiology). Emerg Radiol. 2008;15:427–30.PubMedCrossRef
7.
go back to reference Fransen P, Collignon F, Van Den Heule B. Foraminal disc herniation Th9-Th10 mimicking abdominal pain. Acta Orthop Belg. 2008;74:881–4.PubMed Fransen P, Collignon F, Van Den Heule B. Foraminal disc herniation Th9-Th10 mimicking abdominal pain. Acta Orthop Belg. 2008;74:881–4.PubMed
8.
go back to reference Smith DM. Acute back pain associated with a calcified Schmorl’s node: a case report. Clin Orthop. 1976;117:193–6.PubMed Smith DM. Acute back pain associated with a calcified Schmorl’s node: a case report. Clin Orthop. 1976;117:193–6.PubMed
9.
go back to reference Bazzi J, Dimar JR, Glassman SD. Acute calcific discitis in adults. Am J Orthop (Belle Mead NJ). 2002;31:141–5. Bazzi J, Dimar JR, Glassman SD. Acute calcific discitis in adults. Am J Orthop (Belle Mead NJ). 2002;31:141–5.
10.
go back to reference Lipson SJ, O’Connell JX. Case 37–1991: a 47-year-old woman with back pain and a lesion in a vertebral body. N Engl J Med. 1991;325:794–9.CrossRef Lipson SJ, O’Connell JX. Case 37–1991: a 47-year-old woman with back pain and a lesion in a vertebral body. N Engl J Med. 1991;325:794–9.CrossRef
11.
go back to reference Flemming DJ, Murphey MD, Shekitka KM, et al. Osseous involvement in calcific tendinitis: a retrospective review of 50 cases. AJR Am J Roentgenol. 2003;181:965–72.PubMedCrossRef Flemming DJ, Murphey MD, Shekitka KM, et al. Osseous involvement in calcific tendinitis: a retrospective review of 50 cases. AJR Am J Roentgenol. 2003;181:965–72.PubMedCrossRef
12.
go back to reference Rodacki MA, Castro CES, Castro DS. Diffuse vertebral body edema due to calcified intraspongious disk herniation. Neuroradiology. 2005;47:316–21.PubMedCrossRef Rodacki MA, Castro CES, Castro DS. Diffuse vertebral body edema due to calcified intraspongious disk herniation. Neuroradiology. 2005;47:316–21.PubMedCrossRef
Metadata
Title
Calcific discitis in an adult patient with intravertebral migration and spontaneous remission
Authors
Marcello H. Nogueira-Barbosa
Carlos Fernando Pereira da Silva Herrero
Wagner Pasqualini
Helton Luiz Aparecido Defino
Publication date
01-08-2013
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 8/2013
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-013-1602-y

Other articles of this Issue 8/2013

Skeletal Radiology 8/2013 Go to the issue

Test Yourself: Question

Bone mass of the calvarium

Browser's Notes

Browser’s Notes