STUDY DESIGN Four patients had C2-3 vertebral fusion and radiologically demonstrated cord compression at C3-4 level related to disc bulge with or without association of osteophytes and C1-2 posterior facetal dislocation. The outcome of treatment by atlantoaxial and subaxial facetal fixation is discussed. PURPOSE The article evaluates the significance of atlantoaxial facetal instability in cas...

AIM Fat graft migration following spinal cord surgery is an uncommon problem. Only few cases of fat graft migration causing cauda equine syndrome, recurrent sciatica, and root compression following lumbar spine surgery have been reported. We report a case of fat graft migration causing symptomatic cervical cord compression. MATERIAL AND METHODS A 45-years-old male with cervica...

Cervical spine compression with cervical radicular or cervical spinal cord compression is a common neck condition caused by inflammatory diseases, cervical disk degeneration, neck injuries or other less common causes (tumours, infections etc.). The phosphorylated form of the High-Molecular-Weight Neurofilament Subunit NF-H (pNF-H) in Cerebro-Spinal Fluid (CSF) is a specific biomarker for spinal...

BACKGROUND Pregnancy-related changes can exacerbate the symptoms/signs of vertebral hemangiomas. Here, we report a patient who experienced symptomatic vertebral hemangiomas resulting in cord compression during two consecutive pregnancies. CASE DESCRIPTION A 28-year-old female 34 weeks pregnant, presented with a progressive spastic paraparesis. Magnetic Resonance Imaging (MRI) demonstrated an ...

A 68 year old with lower extremity numbness, vibratory sensation loss, coldness and burning of his feet, unsteady gait, frequent falls and a sensory level had an MRI demonstrating a T7 and T8 vertebral body/posterior element lesion with epidural extension, cord compression and foraminal extension (Figures 1-5). Decompressive laminectomy/resection confirmed vertebral hemangioma, a common benign ...

STUDY DESIGN  Case report. CLINICAL QUESTION  To report successful surgical therapy for spinal cord compression in a patient with spinal metastases from a pancreatic gastrinoma. METHODS  A 43-year-old man presented three times within 4 years with cervical and upper thoracic spinal cord compression because of metastatic gastrinoma. He had two previous spine metastases to the lower thoracic a...

OBJECTIVES To examine the delay in presentation, diagnosis, and treatment of malignant spinal cord compression and to define the effect of this delay on motor and bladder function at the time of treatment. DESIGN Prospective study of all new patients presenting to a regional cancer centre with this condition. SETTING Regional cancer centre. SUBJECTS 301 consecutive patients. MAIN OUTCOM...

What are the clinical symptoms of spinal compression ? First, is there any deformity of the spine ? Deformity is very common in caries, but rare in tumour. Neither of these patients had any deformity. Root-symptoms are, almost always, present from the start. If it is a posterior root which is compressed, there is root-anaesthesia at the level of the lesion. If an anterior root is compressed, th...

A 42 year old Greek male with pseudo-pseudohypoparathyroidism presented with difficulty in walking and with lower limb weakness. His physical signs included short stature, thick neck, short fourth metacarpals and metatarsals, and a spastic paraparesis. Serum calcium and phosphate and parathyroid concentrations were normal. Myelography demonstrated compression of the cervical and lumbar cord in ...

Accepted 17 July 1996 A 36-year-old man was admitted to this unit with almost complete quadriplegia with no sensory level. The bladder and bowel functions had remained intact. When he was a 20-year-old student he had presented with brachialgia and neck swelling, which had been aspirated percutaneously in India in 1980; the fluid was discovered to contain protoscolecs and he was given a full cou...