Case Report Volume 1 Issue 1 - April 2017 Nov Appro Drug Des Dev Copyright © All rights are reserved by Umit Eroglu Lumbar Intervertebral Disc Calcification: A Case Report Umit Eroglu*, Fatih Yakar and Hasan Caglar Ugur Department of Neurosurgery, Ankara University School of Medicine,Turkey Submission: March 27, 2017; Published: April 11, 2017 *Corresponding author: Umit Eroglu, Department of Neurosurgery, Ankara University School of Medicine, Turkey, Tel: ; Fax: ; Email: Introduction Intervertebral disc calcification (IVDC) is the accumulation of calcium pyrophosphate dihydrate or hydroxyapatite crystals in the nucleus pulposus or annulus fibrosus. Incidence of IVDC increase with age and narrowing disc space. Although IVDC is seen with the several systemic diseases and immobilization; probably the most common causes in elderly patients are intervertebral disc degeneration and aging [1]. The disease is usually diagnosed incidentally. It is diagnosed more frequently in patients who are 60 years or older. It also may be seen in patients who are 20 years or younger but in this group, spontaneous regression is a possible. In this paper, we report a 63-year-old male patient was presented with the rarely seen IVDC and dicuss clinical and radiological findings. Case Report 63-year-old male patient admitted to our institution with pain in his waist and both legs. Physical and neurological examinations were normal. Laboratory findings were in normal range. The patient had no trauma or surgery in his history. Thyroid and parathyroid hormones profile were normal. There was no diagnosis of osteoporosis. On the magnetic resonance imagination (MRI), at the L1-2 level discus was hypointense (Figure 1), and intervertebral disc calcification was seen in lumbar computed tomography (CT) (Figure 2a & 2b). When evaluated with CT, initial clinical findings were consistent with the intervertebral disc calcification. The clinic signs of the patient was thought to be due to lumbar spinal stenosis secondary to the of L2-3, L3-4, L4-5 levels disc herniations. Non steroidal inflammatory drug medication was prescribed and resting was recommended for the patient. The patient’s complaints were diminished in short notice. Figure 1: On sagittal T2 sequence of MRI, L1- L2 level discus was hypointense. Nov Appro Drug Des Dev 1(1): NAPDD.MS.ID.555552 (2017) 001 Abstract Intervertebral disc calcification is an uncommon cause of spinal pain and really rare in lumbar disc levels. The certain etiology still remains uncertain. Most of cases are asymptomatic and are diagnosed incidentally in routine scanning or during evaluation of non-specific clinical complaints. A 63-year-old male presented with waist and both legs pain. There was no definite history of trauma or infection. Imaging of the lumbar spine showed calcification of the intervertebral disc at L1-2 level. The patient was kept on medical therapy. The complaints showed near-complete resolution on 3-month follow-up. Keywords: Disc calcification; Lumbar; Nucleus pulposus Abbrevations: IVDC: Intervertebral Disc Calcification; CT: Computed Tomography; MRI: Magnetic Resonance Imagination; X-ray: Direct Radiography