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…
Metastatic Lesion
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…
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…
High-Grade Spondylolisthesis
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…
