Description
A 61-year-old elderly man presented to us with complaints of neck pain radiating to bilateral upper limbs with associated tingling and numbness of all four limbs since 8 months. He also had difficulty in walking and performing fine motor activities with his hands. On examination, he had spasticity of all four limbs, with exaggerated reflexes and power of 4/5 in his limbs. On evaluation with a static MRI of the cervical spine, a T2 cord signal hyperintensity was found at the C3–4 junction with no compression noted in sagittal and axial MRI sections. A dynamic X-ray of the cervical spine showed grade 1 listhesis of C3–4 (figure 1). Dynamic MRI of the spine was done with flexion and extension, which clearly demonstrated canal stenosis at the C3–4 junction with both anterior compression and posterior buckling of the ligamentum flavum (LF) on extension and significant reduction of the...
https://ift.tt/2IhpOqn
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου