Cough induced by ossification of the ligamentum flavum in the high cervical spine

2004 ◽  
Vol 100 (4) ◽  
pp. 364-366 ◽  
Author(s):  
Yu-Cheng Chou ◽  
Chau-Chin Lee ◽  
Pao-Sheng Yen ◽  
Jui-Feng Lin ◽  
Chain-Fa Su ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Traffic Accident ◽  
Rare Case ◽  
Ligamentum Flavum ◽  
Pathophysiological Mechanism ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
High Cervical ◽  
Fine Print

✓ The authors report a very rare case of high cervical ossification of the ligamentum flavum (OLF) in a 40-year-old woman who developed an intractable cough after a traffic accident. The patient's symptoms subsided immediately after decompressive laminectomy and removal of the lesion. To the authors' knowledge, this is the first reported case of high cervical OLF in a patient who presented with a cough. The pathophysiological mechanism underlying the cough was determined to be symptomatic of high cervical spine OLF.

Stenosis of the axis and cervical myelopathy

1992 ◽  
Vol 76 (2) ◽  
pp. 296-297 ◽  
Author(s):  
Shankar G. Prakash ◽  
Mathew J. Chandy ◽  
Jacob Abraham
Keyword(s):  
Cervical Myelopathy ◽  
Rare Case ◽  
Neural Arch ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
Remarkable Recovery ◽  
Fine Print

✓ A rare case is described of marked segmental stenosis of the axis secondary to developmental hypertrophy of the posterior neural arch causing cervical myelopathy. The patient made a remarkable recovery following decompressive laminectomy.

Cervical laminectomy without fusion in patients with rheumatoid arthritis

1999 ◽  
Vol 90 (2) ◽  
pp. 186-190 ◽  
Author(s):  
Dan Christensson ◽  
Hans Säveland ◽  
Stefan Zygmunt ◽  
Kjell Jonsson ◽  
Urban Rydholm
Keyword(s):  
Rheumatoid Arthritis ◽  
Cervical Spine ◽  
Cord Compression ◽  
Spinal Instability ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
Fusion Procedure ◽  
Cervical Laminectomy ◽  
Flexion Extension ◽  
Fine Print

Object. The authors performed a prospective study to determine whether cervical laminectomy without simultaneous fusion results in spinal instability. Methods. Because of clinical and radiographic signs of cord compression, 15 patients with rheumatoid arthritis (including one with Bechterew's disease) and severe involvement of the cervical spine underwent decompressive laminectomy without fusion performed on one or more levels. Preoperative flexion—extension radiographs demonstrated dislocation but no signs of instability at the level of cord compression. Clinical and radiological reexamination were performed twice at a median of 15 months (6–24 months) and 43 months (28–72 months) postoperatively. One patient developed severe vertical translocation 28 months after undergoing a C-1 laminectomy, which led to sudden tetraplegia. She required reoperation in which posterior fusion was performed. No signs of additional instability at the operated levels were found in the remaining 14 patients. In three patients increased but stable dislocation was demonstrated. The results of clinical examination were favorable in most patients, with improvement of neurological symptoms and less pain. Conclusions. The authors conclude that decompressive laminectomy in which the facet joints are preserved can be performed in the rheumatoid arthritis-affected cervical spine in selected patients in whom signs of cord compression are demonstrated, but in whom radiographic and preoperative signs of instability are not. Performing a simultaneous fusion procedure does not always appear necessary. Vertical translocation must be detected early, and if present, a C-1 laminectomy should be followed by occipitocervical fusion.

Extradural spinal depositions of urates producing paraplegia

1973 ◽  
Vol 39 (5) ◽  
pp. 656-658 ◽  
Author(s):  
John Litvak ◽  
Walter Briney
Keyword(s):  
Ligamentum Flavum ◽  
Cauda Equina ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
Fine Print

✓ A case of paraplegia is reported that responded to decompressive laminectomy and removal of a urate-laden ligamentum flavum compromising the cauda equina.

Clivus epidural hematoma

1990 ◽  
Vol 72 (4) ◽  
pp. 660-662 ◽  
Author(s):  
Akihiro Kurosu ◽  
Keiichi Amano ◽  
Osami Kubo ◽  
Hiroshi Himuro ◽  
Takeki Nagao ◽  
...  
Keyword(s):  
Traffic Accident ◽  
Rare Case ◽  
Epidural Hematoma ◽  
Similar Case ◽  
Content Type ◽  
Hyperextension Injury ◽  
Fine Print

✓A rare case of epidural hematoma of the clivus is reported in an 11 -year-old girl involved in a traffic accident which caused a severe hyperextension injury. Only one similar case has been reported in the literature. The mechanism for the formation of the hematoma of this region is discussed.

Atlas hypoplasia as a cause of high cervical myelopathy

1993 ◽  
Vol 79 (6) ◽  
pp. 917-919 ◽  
Author(s):  
Yoji Komatsu ◽  
Tomoyuki Shibata ◽  
Susumu Yasuda ◽  
Yukio Ono ◽  
Tadao Nose
Keyword(s):  
Spinal Cord ◽  
Cervical Myelopathy ◽  
Neurological Recovery ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
High Cervical ◽  
Fine Print

✓ A high cervical myelopathy due to atlas hypoplasia is described in a 56-year-old man; the condition caused marked segmental compression of the spinal cord. A remarkable neurological recovery followed decompressive laminectomy of the atlas and adjacent regions. The authors discuss the embryology and etiology of this anomaly.

Syringomyelia caused by loosening of multistrand cables following C1–2 Brooks-type fusion in the rheumatoid cervical spine

2002 ◽  
Vol 97 (3) ◽  
pp. 366-368 ◽  
Author(s):  
Jun Mizutani ◽  
Shunji Tsubouchi ◽  
Muneyoshi Fukuoka ◽  
Takanobu Otsuka ◽  
Nobuo Matsui
Keyword(s):  
Rheumatoid Arthritis ◽  
Cervical Spine ◽  
Rare Case ◽  
Content Type ◽  
History Of ◽  
Good For ◽  
Fine Print

✓ The authors report a very rare case of syringomyelia caused by loosening of multistrand cable wires following C1–2 Brooks-type fusion in a 36-year-old woman with a 13-year history of rheumatoid arthritis (RA). The syrinx vanished immediately after removal of the cables, and 2 years later no recurrence of symptoms or deterioration has occurred. The authors contend that multistrand titanium cables should not be used to fix a graft-assisted C1–2 construct in patients with RA, although this material is good for fixing rods. The phenomenon observed in this case adds to our understanding of the pathogenesis of noncommunicating syringomyelia.

Chondroblastoma of the cervical spine

1973 ◽  
Vol 38 (6) ◽  
pp. 763-766 ◽  
Author(s):  
Marian Wisniewski ◽  
Cyril Toker ◽  
Paul J. Anderson ◽  
Yun P. Huang ◽  
Leonard I. Malis
Keyword(s):  
Differential Diagnosis ◽  
Cervical Spine ◽  
Rare Case ◽  
Benign Lesions ◽  
Content Type ◽  
Fine Print

✓ A rare case of benign chondroblastoma of the cervical spine is described, and the differential diagnosis of benign lesions in the spine discussed.

Cervical spine chordoid meningioma

2005 ◽  
Vol 2 (2) ◽  
pp. 195-198 ◽  
Author(s):  
Ahmed Ibrahim ◽  
Malcolm Galloway ◽  
Clarence Leung ◽  
Tamas Revesz ◽  
Alan Crockard
Keyword(s):  
Cervical Spine ◽  
Rare Case ◽  
Prognostic Significance ◽  
Careful Consideration ◽  
Chordoid Meningioma ◽  
Content Type ◽  
Histological Assessment ◽  
Spinal Region ◽  
Systemic Symptoms ◽  
Fine Print

✓ Chordoid meningiomas are a rare but increasingly recognized subtype of meningioma. Although some cases have been associated with systemic symptoms, in many instances the clinical features are indistinguishable from those associated with other subtypes of meningioma. Given the prognostic significance of the diagnosis of chordoid meningioma, careful consideration should be given to the diagnosis during histological assessment. The authors describe a rare case of chordoid meningioma in the cervical spinal region.

Calcification of the ligamentum flavum of the cervical spine

1983 ◽  
Vol 59 (3) ◽  
pp. 531-534 ◽  
Author(s):  
Yoshinobu Iwasaki ◽  
Minoru Akino ◽  
Hiroshi Abe ◽  
Mitsuo Tsuru ◽  
Kunio Tashiro ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Computerized Tomography ◽  
Diagnostic Tool ◽  
Ligamentum Flavum ◽  
Nutritional State ◽  
Content Type ◽  
Contributory Factors ◽  
Inflammatory Processes ◽  
Radiological Examinations ◽  
Fine Print

✓ Four cases of calcification of the cervical ligamentum flavum are reported, all in women over 60 years of age. Neurological findings were not significantly different from those of other cervical compressive diseases. Among radiological examinations, computerized tomography was the most valuable diagnostic tool. Calcification might have been induced by the degeneration or abnormal nutritional state of the ligamentum flavum. Endocrine abnormalities and inflammatory processes might also have been contributory factors.

Intradural chordoma of the tentorium cerebelli

1991 ◽  
Vol 74 (3) ◽  
pp. 508-511 ◽  
Author(s):  
Ronald E. Warnick ◽  
Jack Raisanen ◽  
Theodore Kaczmar ◽  
Richard L. Davis ◽  
Michael D. Prados
Keyword(s):  
Rare Case ◽  
Content Type ◽  
Tentorium Cerebelli ◽  
Fine Print

✓ A rare case of intradural chordoma is described. The literature contains seven examples of intradural extraosseous chordoma, all reported in a ventral location. This is the first reported case of a primary intradural chordoma distant from the clivus and involving both the supra- and infratentorial compartments.

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