71Thoracic Osteomyelitis Presentation A 60-year-old man had a history of abdominal surgery and subsequent peritonitis with resultant septicemia and thoracic osteomyelitis. He was left with disabling midthoracic pain and radiculopathy…

65Spinal Tumor Asim Mahmood Presentation A 60-year-old woman had gait difficulty and back pain. On examination, her reflexes were brisk and she had lost proprioception. Her symptoms were worse at…

72Pott’s Disease Presentation A 68-year-old woman had Pott’s disease as a child, and underwent several corrective lumbar procedures. She presented with progressive pain and gait and bowel/bladder dysfunction. Radiologic Findings…

79Diastematomyelia Presentation A 59-year-old man presented with progressive kyphoscoliotic deformity of the thoracolumbar spine. He was neurologically intact. Further investigation found diastematomyelia. Radiologic Findings The patient’s T2-weighted sagittal and axial…

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…

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….

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…

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…

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…

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…