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…

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…

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,…

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…

56Metastatic Lesion Presentation An 85-year-old man with a history of prostate cancer complained of middle back pain, refractory to pain management. He had a thoracic sensory level, mild weakness of…

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…

46High-Grade Spondylolisthesis Presentation A 52-year-old woman complained of chronic mechanical low back pain radiating to the thighs. On examination, sensation was decreased in the L5 distribution bilaterally. She had limited…

40Percutaneous Lumbar Laminotomies and Foraminotomies Presentation A 48-year-old woman developed a left sciatic pain after a fall. She has failed months of conservative therapy. Neuro-logically, she has a positive straight…

11Lumbar Fracture Presentation A 52-year-old man fell the height of one story a year ago. He has had chronic low back pain since then. His neurologic examination is normal. Radiologic…

44Foot Drop History A 48-year-old woman presented with low back pain and foot drop of 1 week duration. Radiologic Findings Magnetic resonance imaging (MRI) showed spondy-lolisthesis at L4-L5 with canal…