Pseudomeningocele

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Intramedullary Cervical Lesion

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Thoracic Arteriovenous Fistula

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Klippel-Feil Spine

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Recurrent Sacral Tumor

Jul 16, 2016 by in NEUROLOGY Comments Off on 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….

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Sacral Lesion

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Cervical Myelopathy

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Arachnoiditis

Jul 16, 2016 by in NEUROLOGY Comments Off on Arachnoiditis

85Arachnoiditis Presentation An 87-year-old woman presented with chronic low back pain radiating to the posterior thighs. She had two lumbar decompressions and one non-instrumented fusion in the past. In addition,…

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Pars Defect

Jul 16, 2016 by in NEUROLOGY Comments Off on Pars Defect

45Pars Defect Presentation A 56-year-old woman was troubled by mechanical low back pain that was refractory to conservative treatment. She did not have any neurologic findings. Radiologic Findings Magnetic resonance…

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Fibrous Dysplasia

Jul 16, 2016 by in NEUROLOGY Comments Off on Fibrous Dysplasia

78Fibrous Dysplasia Presentation A 67-year-old woman complained of upper neck pain worsened by neck extension, radiating into her left sub-occipital region. Objectively, she has no focal neurologic deficit and a…

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