scholarly journals Cervical cord compression due to ossification of the ligamentum flavum – A case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 37
Author(s):  
Noama Iftekhar ◽  
Abdullah Rasool ◽  
Irfan Khan
Keyword(s):  
Older Patients ◽  
Ligamentum Flavum ◽  
Cervical Spinal Cord ◽  
The Elderly ◽  
Cord Compression ◽  
Cervical Cord ◽  
Case Description ◽  
Male Population ◽  
Decompressive Laminectomy ◽  
Asian Male

Background: Symptomatic compression of the cervical spinal cord by ossification of the ligamentum flavum (OLF) is rare. It typically involves the elderly and is particularly prominent in the Asian male population. Here, we present a 70-year-old Pakistani female who became quadriparetic due to OLF. Case Description: A 70-year-old female became increasingly quadriparetic over 3 months duration, but exhibited preservation of vibration and proprioception. The cervical magnetic resonance/computed tomography revealed dorsal OLF measuring 7 mm × 25 mm × 14 mm. Two months following a decompressive laminectomy, her symptoms fully resolved. Conclusion: Although rare in older patients, cervical OLF may contribute to significant cervical myelopathy characterized by a progressive quadriparesis that can be readily resolved with a decompressive laminectomy.

scholarly journals Symptomatic thoracic ossification of the ligamentum flavum in a patient with ankylosing spondylitis: Report of a case and review

2021 ◽  
Vol 12 ◽  
pp. 596
Author(s):  
Abolfazl Rahimizadeh ◽  
Parviz Habibollahzadeh ◽  
Walter L. Williamson ◽  
Housain Soufiani ◽  
Mahan Amirzadeh ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Ankylosing Spondylitis ◽  
Spinal Cord Compression ◽  
Marked Improvement ◽  
Ligamentum Flavum ◽  
Cord Compression ◽  
Case Description ◽  
Thoracic Spinal Cord ◽  
Decompressive Laminectomy ◽  
Thoracic Spinal

Background: Thoracic spinal cord compression due to both ankylosing spondylitis (AS) and ossification of the ligamentum flavum (OLF) is rare. Case Description: A 33-year-old male with AS presented with a paraparesis attributed to MR documented T9-T10 OLF/stenosis. He was successfully managed with a decompressive laminectomy; this resulted in marked improvement of his deficit. Conclusion: Thoracic OLF and AS rarely contribute T9-T10 spinal cord compression that may be readily relieved with a decompressive laminectomy.

scholarly journals Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal Cord

2021 ◽  
Vol 10 (5) ◽  
pp. 927
Author(s):  
Zdenek Kadanka ◽  
Zdenek Kadanka ◽  
Tomas Skutil ◽  
Eva Vlckova ◽  
Josef Bednarik
Keyword(s):  
Cervical Spinal Cord ◽  
Japanese Orthopaedic Association ◽  
Cord Compression ◽  
Cervical Cord ◽  
Cross Sectional ◽  
Severity Of Disability ◽  
Degree Of Disability ◽  
Degenerative Cervical Myelopathy ◽  
Cardinal Symptoms ◽  
Run Test

Impaired gait is one of the cardinal symptoms of degenerative cervical myelopathy (DCM) and frequently its initial presentation. Quantitative gait analysis is therefore a promising objective tool in the disclosure of early cervical cord impairment in patients with degenerative cervical compression. The aim of this cross-sectional observational cohort study was to verify whether an objective and easily-used walk and run test is capable of detecting early gait impairment in a practical proportion of non-myelopathic degenerative cervical cord compression (NMDCC) patients and of revealing any correlation with severity of disability in DCM. The study group consisted of 45 DCM patients (median age 58 years), 126 NMDCC subjects (59 years), and 100 healthy controls (HC) (55.5 years), all of whom performed a standardized 10-m walk and run test. Walking/running time/velocity, number of steps and cadence of walking/running were recorded; analysis disclosed abnormalities in 66.7% of NMDCC subjects. The DCM group exhibited significantly more pronounced abnormalities in all walk/run parameters when compared with the NMDCC group. These were apparent in 84.4% of the DCM group and correlated closely with disability as quantified by the modified Japanese Orthopaedic Association scale. A standardized 10-m walk/run test has the capacity to disclose locomotion abnormalities in NMDCC subjects who lack other clear myelopathic signs and may provide a means of classifying DCM patients according to their degree of disability.

Examination of Frozen Cross Sections of Cervical Spinal Intersegments in Nine Horses with Cervical Vertebral Malformation: Lesions Associated with Spinal Cord Compression

1993 ◽  
Vol 5 (3) ◽  
pp. 423-431 ◽  
Author(s):  
S. S. Trostle ◽  
R. R. Dubielzig ◽  
K. A. Beck
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cross Sections ◽  
Ligamentum Flavum ◽  
Cervical Spinal Cord ◽  
Cord Compression ◽  
Joint Capsule ◽  
Radiographic Findings ◽  
Vertebral Malformation ◽  
Synovial Cysts

Nine horses with clinical and radiographic findings of cervical vertebral malformation that were necropsied and examined using frozen cervical spinal cord cross sections were reviewed. Only cases with actual distortion of the spinal cord due to compression were selected. The goal of the study was to determine the morphologic features responsible for narrowing of the spinal canal and compression of the spinal cord. In individual cases, bony changes are associated with osteochondrosis and osteomyelitis of the dorsal articular facets and osteosclerosis of the dorsal cervical lamina. Soft tissue pathology associated with spinal cord compression included ligamentum flavum hypertrophy, joint capsule swelling and hypertrophy, and synovial cysts. In most cases, a combination of abnormalities was found in horses with spinal cord compression.

Pituitary carcinoma with a single metastasis causing cervical spinal cord compression

2005 ◽  
Vol 2 (3) ◽  
pp. 349-353 ◽  
Author(s):  
John Ayuk ◽  
Geetha Natarajan ◽  
J. Ian Geh ◽  
Rosalind D. Mitchell ◽  
Neil J. L. Gittoes
Keyword(s):  
English Language ◽  
Cervical Spinal Cord ◽  
Cord Compression ◽  
Pituitary Carcinoma ◽  
Treatment Modalities ◽  
Cervical Cord ◽  
Debulking Surgery ◽  
Content Type ◽  
Language Literature ◽  
Malignant Behavior

✓ Pituitary carcinoma is rare, with fewer than 100 cases having been reported in the English-language literature. The diagnosis of pituitary carcinoma requires the demonstration of cerebrospinal and/or systemic metastases rather than local invasion. The lesion carries a poor prognosis; fewer than 50% of patients survive beyond 1 year after diagnosis. In this report the authors describe the case of a 68-year-old man who had undergone transsphenoidal debulking surgery and pituitary radiotherapy 4 years earlier for a pituitary adenoma. He presented with cervical cord compression due to a single metastasis from pituitary carcinoma. The authors discuss the management of this entity and review the literature for current opinion on the pathogenesis of these tumors, factors resulting in malignant transformation, and the reliability of markers that predict future malignant behavior. Evidence for the various treatment modalities is also appraised.

Value of gas myelography in early management of acute cervical spinal cord injuries

1975 ◽  
Vol 42 (3) ◽  
pp. 330-337 ◽  
Author(s):  
Alain B. Rossier ◽  
Jean Berney ◽  
Arthur E. Rosenbaum ◽  
Jurg Hachen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Cord Compression ◽  
Cervical Cord ◽  
Valuable Contribution ◽  
Early Management ◽  
Specific Patient ◽  
Content Type ◽  
Cord Injury

✓ Gas myelography was carried out in 22 patients with acute cervical spinal cord injuries in whom oily contrast media seemed contraindicated. The authors believe this technique makes a valuable contribution to the basic decision regarding the surgical versus medical treatment of a specific patient with a cervical cord injury. They emphasize the importance of visualizing cord compression due to disc herniation in these cases and conclude that gases are the optimal contrast agents for visualization of the entire circumference of the spinal cord.

scholarly journals Hypoplasia of C1’s posterior arch: Is there an ideal anatomical classification?

2021 ◽  
Vol 12 ◽  
pp. 623
Author(s):  
Messias Gonçalves Pacheco Junior ◽  
Nicoly Augusta da Silva Quezada dos Santos ◽  
Raphael Tavares Ribeiro ◽  
Jose Alberto Landeiro ◽  
Bruno Lima Pessoa
Keyword(s):  
Spinal Cord ◽  
Wide Spectrum ◽  
Cord Compression ◽  
Sudden Onset ◽  
Cervical Cord ◽  
Posterior Arch ◽  
Case Description ◽  
Posterior Decompression ◽  
Anatomical Classification ◽  
A Minor

Background: Congenital anomalies of the atlas are rare and usually occur in conjunction with other congenital variants. They include a wide spectrum of anomalies ranging from clefts to hypoplasia or aplasia of its arches that may contribute to spinal cord compressive syndrome. Case Description: A 54-year-old male presented with the sudden onset of a severe quadriparesis and loss of proprioception after a minor fall. The magnetic resonance (MR) scan showed cord compression at the C1 level attributed to C1 arch hypoplasia. Two months following a decompressive C1 laminectomy without fusion, and the patient was symptom free. Conclusion: Posterior C1 arch hypoplasia is a rare anomaly that can contribute to cervical cord compression and myelopathy. The optimal surgical management may include, as in this case, a posterior decompression without fusion.

Cervical cord compression due to delayed scarring around epidural electrodes used in spinal cord stimulation

2010 ◽  
Vol 12 (4) ◽  
pp. 409-412 ◽  
Author(s):  
Phong Dam-Hieu ◽  
Elsa Magro ◽  
Romuald Seizeur ◽  
Alexandre Simon ◽  
Bertrand Quinio
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Cervical Spinal Cord ◽  
Scar Tissue ◽  
Cord Compression ◽  
Cervical Cord ◽  
Resonance Imaging ◽  
Posterior Aspect ◽  
Paramedical Staff ◽  
Delayed Complication

The authors report on 2 cases of delayed compression of the cervical spinal cord by dense scar tissue forming around epidural electrodes implanted for spinal cord stimulation (SCS). This complication has not been previously reported. Myelopathy developed in 2 patients 5 and 16 years after the surgical placement of a cervical epidural electrode. Prior to myelopathy, both patients experienced a tolerance phenomenon. Magnetic resonance imaging in both cases showed severe compression of the spinal cord by the electrode. At surgery, thick scar tissue surrounding the electrode and compressing the posterior aspect of the cord was discovered. Both patients experienced a full recovery following the removal of both scar tissue and the electrode. Medical and paramedical staff dealing with SCS should be aware of this severe and delayed complication. In addition, the development of epidural fibrosis can explain the occurrence of tolerance.

Cervical Cord Compression with Myelopathy Caused by Bilateral Persistence of the First Intersegmental Arteries: Case Report

Neurosurgery ◽  
2003 ◽  
Vol 53 (1) ◽  
pp. 234-237 ◽  
Author(s):  
Toshiyuki Takahashi ◽  
Teiji Tominaga ◽  
Tamer Hassan ◽  
Takashi Yoshimoto
Keyword(s):  
Vertebral Artery ◽  
Clinical Presentation ◽  
Cervical Spinal Cord ◽  
Cord Compression ◽  
Cervical Cord ◽  
Vascular Compression ◽  
Arm Pain ◽  
Dorsal Aspect ◽  
Relieve Pain ◽  
Vascular Decompression

Abstract OBJECTIVE AND IMPORTANCE Cervical myelopathy induced by vascular compression is rare. We report a case caused by bilateral persistence of the first intersegmental arteries (a vertebral artery anomaly). Myelopathy was successfully treated with vascular decompression. CLINICAL PRESENTATION A 66-year-old woman presented with gradually worsening paroxysmal neck and arm pain. Magnetic resonance imaging and angiography demonstrated anomalous intradural courses of both vertebral arteries, compressing the dorsal aspect of the cervical spinal cord. INTERVENTION Microvascular decompression was performed with transposition of the arteries, followed by anchoring of the arteries to the dorsolateral dura mater with Gore-Tex bands (W.L. Gore & Associates, Inc., Flagstaff, AZ). CONCLUSION The pain disappeared promptly after surgery. Surgical decompression, with anchoring of an anomalous vertebral artery to the dura, can relieve pain and other symptoms resulting from vascular cord compression.

scholarly journals Spinal cord compression from hypertrophic nerve roots in chronic inflammatory demyelinating polyradiculoneuropathy – A case report

2021 ◽  
Vol 12 ◽  
pp. 114
Author(s):  
Md Tanvir Hasan ◽  
Subodh Patil ◽  
Vanisha Chauhan ◽  
David Gosal ◽  
John Ealing ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Nerve Root ◽  
Cervical Spinal Cord ◽  
Clinical Manifestations ◽  
Neurofibromatosis Type ◽  
Cord Compression ◽  
Chronic Inflammatory Demyelinating Polyradiculoneuropathy ◽  
Cervical Cord ◽  
Therapeutic Decision Making

Background: Spinal cord compression secondary to nerve root hypertrophy is often attributed to hereditary neuropathies. However, to avoid misdiagnosis, rare immune-mediated neuropathy such as chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) should not be overlooked. This report presents a case of multilevel nerve root hypertrophy leading to significant cord compression from CIDP. Case Description: We report a 56-year-old gentleman with type two diabetes mellitus who presented with subacute cervical cord syndrome following a fall. Mixed upper and lower motor neuron features were noted on examination. Magnetic resonance imaging showed significant pan-spinal proximal nerve root hypertrophy, compressing the cervical spinal cord. Initial radiological opinion raised the possibility of neurofibromatosis type 1 (NF-1), but neurophysiology revealed both axonal and demyelinating changes that were etiologically non-specific. C6 root and sural nerve biopsies taken at cervical decompression displayed striking features suggestive for CIDP. Although NF-1 is the most observed condition associated with root hypertrophy, other important and potentially treatable differentials need to be entertained. Conclusion: While rare, CIDP can cause significant spinal cord compression. Furthermore, clinical manifestations of CIDP can mimic those of inherited peripheral neuropathies. Neurologists and neurosurgeons should be aware of this condition to optimize subsequent therapeutic decision-making.

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