Osteoporosis
55Osteoporosis Presentation An 81-year-old woman fell from a standing position and developed intractable low back pain with radiculopathy. She was neurologically intact, but her pain increased with standing and walking….
Arachnoid Cyst
83Arachnoid Cyst Presentation A 60-year-old man who had a previous thoracic laminectomy for resection of an arachnoid cyst continued to have progressive myelopathy. Radiologic Findings T2-weighted sagittal magnetic resonance imaging…
Spinal Teratoma
80Spinal Teratoma Presentation A 38-year-old woman had urinary retention. Workup found a large sacral teratoma, and she underwent a subtotal resection, with some clinical improvement. She had further medical treatment…
Pseudomeningocele
32Pseudomeningocele Presentation An 82-year-old man presents with a cervical pseudomeningocele, discovered 2 years after multilevel posterior cervical laminectomy. Neurologically, he has been stable. He has a significant cardiopulmonary history. Radiologic…
Intramedullary Cervical Lesion
73Intramedullary Cervical Lesion Presentation A 61-year-old man developed increasing quadriparesis and spasticity. He had a remote history of foreign travel. Radiologic Findings A T2-weighted cervical magnetic resonance imaging (MRI) is…
Thoracic Arteriovenous Fistula
82Thoracic Arteriovenous Fistula Presentation A 75-year-old man complained of increasing difficulty walking. He had a sensory level at T10-T11. Radiologic Findings T2-weighted thoracic magnetic resonance imaging (MRI) (Fig. 82-1) showed…
Recurrent Sacral Tumor
69Recurrent Sacral Tumor Presentation A 44-year-old man complained of recurrent sacral pain, sexual dysfunction, and radicular symptoms. He had previous resection of a sacral mass, followed by radiation and chemotherapy….
Klippel-Feil Spine
74Klippel-Feil Spine Presentation A 41-year-old woman with Klippel-Feil syndrome complained of chronic neck and upper extremity pain, radiating into both hands. This improved with shaking her hands out, and was…
Sacral Lesion
68Sacral Lesion Presentation A 38-year-old man was troubled by lower extremity radiculopathies. Although he did not have incontinence, urinary frequency with decreased sensation in a right L5 to S3 distribution…
Cervical Myelopathy
29Cervical Myelopathy Presentation A 44-year-old man with chronic neck pain began experiencing hand numbness. On examination he was myelopathic. Radiologic Findings A T2-weighted sagittal magnetic resonance imaging (MRI) of the…
