양팔의 저림과 틱 유사증세로 내원한 소아 경추 추간판 탈출증 1례

A Case of Cervical Disc Herniation with Paresthesia in Both Arms and Tic Mimicking Motions

신체 활동량이 많은 소아에서 경추부 손상은 눈에 띄는 외상이 없고, 증상이 뚜렷하지 않은 경우 진단이 어려울 수 있다. 저자들은 양측 팔저림과 경부 틱유사증상을 주소로 내원한 8세 여아의 경추부 자기공명촬영검사에서 경추 추간판 탈출증을 발견하였고, 추간판 탈출증의 증상으로 틱 유사증상이 나타날 수 있는 것을 경험하였기에 이를 보고하는 바이다.

Intervertebral disc herniation is rare in children and is reportedly related with disc calcification and traumatic injury. We report an 8 years old girl, who complained of tingling sensation in both arms and intentional tic like neck stretching for about 1 month. She had got unnoticed whiplash Injury 2 weeks before symptoms. She also had been taking lessons for taekwondo for one and half year. Physical examination was unremarkable. Her symptoms got aggravated over the next 4 weeks. Plain vertebral x-ray showed no abnormalities, but cervical spinal MRI revealed disc central herniations at C 5-6 and C 6-7 levels. We concluded that her paresthesia and tic like motion were related with cervical disc herniation from hyperflexion neck injury.