Cervical Rib
76Cervical Rib Presentation A 50-year-old man was troubled by a recent onset of arm pain and numbness. He had no neurologic deficit. Mild cervical spondylosis was seen on magnetic resonance…
Spinal Deformity
86Spinal Deformity Presentation A 40-year-old woman with a history of back pain since adolescence complained of worsening pain but no neurologic deficit. Radiologic Findings Reconstructed computed tomography (CT) scan of…
Klippel-Feil Syndrome
75Klippel-Feil Syndrome Presentation A 46-year-old woman with Klippel-Feil syndrome presented with gait instability and dysesthetic arm pain. She had some hand weakness. Magnetic resonance imaging (MRI) of the C-spine was…
Thoracic Disc
34Thoracic Disc Presentation A 60-year-old man presented with progressive paraplegia and a thoracic sensory level. Radiologic Findings A thoracic magnetic resonance imaging (MRI) showed a T8-T9 disc with thecal sac…
Metastatic Spinal Cord Lesion
67Metastatic Spinal Cord Lesion Presentation A 66-year-old man with non–small-cell lung cancer developed lower extremity weakness and incontinence over a period of days. He was paraparetic on examination, but did…
Tethered Cord
87Tethered Cord Presentation A 31-year-old woman reported persistent back pain a few weeks after childbirth. She had some urinary retention, lower extremity dysesthesias, and had a long-standing tuft of hair…
Large Upper Cervical Nerve Sheath Tumor
63Large Upper Cervical Nerve Sheath Tumor Presentation A 41-year-old man complained of left hemisensory loss with gait difficulty. On examination, he was hyperreflexic with sustained lower extremity clonus and positive…
Transverse Myelitis
36Transverse Myelitis Presentation A 61-year-old woman with a history of autoimmune illness recently became progressively paraparetic with incontinence. She complained of a new-onset “band”-like feeling in her chest. On examination,…
Multilevel Anterior Cervical Discectomy and Fusion (ACDF)
24Multilevel Anterior Cervical Discectomy and Fusion (ACDF) Presentation A 52-year-old woman with neck pain and myelopathy had a progressive swan neck deformity. Radiologic Findings Abnormal cervical kyphosis is evident on…
Thoracic Tumor
58Thoracic Tumor Presentation A 57-year-old woman had long-standing thoracic pain. She had brisk reflexes, but no other neurologic signs. An extensive medical workup was significant for a mass extending from…
