NEUROLOGY

Recurrent Giant Cell Tumor

Jul 16, 2016 by in NEUROLOGY Comments Off on Recurrent Giant Cell Tumor

61Recurrent Giant Cell Tumor Presentation A 29-year-old man initially presented with low back pain and bilateral radiculopathies. He had a posterior resection of an S1 lesion followed by 48 Gy…

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Achondroplasia

Jul 16, 2016 by in NEUROLOGY Comments Off on Achondroplasia

84Achondroplasia Presentation A 46-year-old achondroplastic dwarf came to the emergency department with cauda equina syndrome. Radiologic Findings A sagittal view, reconstructed computed tomography (CT) myelogram of the lumbar spine is…

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Bilateral Locked Facets

Jul 16, 2016 by in NEUROLOGY Comments Off on Bilateral Locked Facets

5Bilateral Locked Facets Presentation A 51-year-old woman was assaulted during a bar fight and became a C5 quadriplegic. Radiologic Findings Axial CT through the area of injury demonstrates inversion of…

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Adjacent Segment Disease

Jul 16, 2016 by in NEUROLOGY Comments Off on Adjacent Segment Disease

38Adjacent Segment Disease Presentation A 68-year-old woman with two previous fusions was diagnosed with a new L3 radiculopathy and quadriceps weakness. Radiologic Findings A preoperative lumbar x-ray shows retrolisthesis of…

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Ankylosing Hyperostosis of Forestier and Rotes-Querol

Jul 16, 2016 by in NEUROLOGY Comments Off on Ankylosing Hyperostosis of Forestier and Rotes-Querol

77Ankylosing Hyperostosis of Forestier and Rotes-Querol Presentation This 69-year-old man fell forward 6 months ago and began complaining of neck pain. He remains neurologically intact and without pain. Radiologic Findings…

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Spinal Deformity

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Cervical Rib

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Klippel-Feil Syndrome

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Thoracic Disc

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Metastatic Spinal Cord Lesion

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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