A rare case of cervical myelopathy caused by invaginated laminae of the axis into the spinal canal

2016 ◽  
Vol 16 (9) ◽  
pp. e599-e600 ◽  
Author(s):  
Ce Zhu ◽  
Bangjian Zhou ◽  
Limin Liu ◽  
Yueming Song
Keyword(s):  
Cervical Myelopathy ◽  
Spinal Canal ◽  
Rare Case

scholarly journals Ga-68 DOTA-NOC PET/CT for the detection of residual/recurrence in a rare case of sacral spinal canal paraganglioma

2015 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
TarunKumar Jain ◽  
RajenderKumar Basher ◽  
Jaya Shukla ◽  
Anish Bhattacharya ◽  
Mahesh Prakash ◽  
...  
Keyword(s):  
Spinal Canal ◽  
Rare Case ◽  
Pet Ct

Congenital Cervical Spine Stenosis in a Multicenter Global Cohort of Patients With Degenerative Cervical Myelopathy: An Ambispective Report Based on a Magnetic Resonance Imaging Diagnostic Criterion

Neurosurgery ◽  
2018 ◽  
Vol 83 (3) ◽  
pp. 521-528 ◽  
Author(s):  
Aria Nouri ◽  
Lindsay Tetreault ◽  
Satoshi Nori ◽  
Allan R Martin ◽  
Anick Nater ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Cervical Spine ◽  
Magnetic Resonance ◽  
Surgical Outcomes ◽  
Cervical Myelopathy ◽  
Spinal Canal ◽  
Resonance Imaging ◽  
Baseline Severity ◽  
Degenerative Cervical Myelopathy

Abstract BACKGROUND Congenital spinal stenosis (CSS) of the cervical spine is a risk factor for acute spinal cord injury and development of degenerative cervical myelopathy (DCM). OBJECTIVE To develop magnetic resonance imaging (MRI)-based criteria to diagnose preexisting CSS and evaluate differences between patients with and without CSS. METHODS A secondary analysis of international prospectively collected data between 2005 and 2011 was conducted. We examined the data of 349 surgical DCM patients and 27 controls. Spinal canal and cord anteroposterior diameters were measured at noncompressed sites to calculate spinal cord occupation ratio (SCOR). Torg–Pavlov ratios and spinal canal diameters from radiographs were correlated with SCOR. Clinical and MRI factors were compared between patients with and without CSS. Surgical outcomes were also assessed. RESULTS Calculation of SCOR was feasible in 311/349 patients. Twenty-six patients with CSS were identified (8.4%). Patients with CSS were younger than patients without CSS (P = .03) and had worse baseline severity as measured by the modified Japanese Orthopedic Association score (P = .04), Nurick scale (P = .05), and Neck Disability Index (P < .01). CSS patients more commonly had T2 cord hyperintensity changes (P = .09, ns) and worse SF-36 Physical Component scores (P = .06, ns). SCOR correlated better with Torg–Pavlov ratio and spinal canal diameter at C3 than C5. Patients with SCOR ≥ 65% were also younger but did not differ in baseline severity. CONCLUSION SCOR ≥ 70% is an effective criterion to diagnose CSS. CSS patients develop myelopathy at a younger age and have greater impairment and disability than other patients with DCM. Despite this, CSS patients have comparable duration of symptoms, MRI presentations, and surgical outcomes to DCM patients without CSS.

scholarly journals Severe Facet Joint Arthrosis Caused C7/T1 Myelopathy: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Toshimi Aizawa ◽  
Hiroshi Ozawa ◽  
Takeshi Hoshikawa ◽  
Takashi Kusakabe ◽  
Eiji Itoi
Keyword(s):  
Cervical Myelopathy ◽  
Rare Case ◽  
Facet Joint ◽  
Spinous Process ◽  
Intervertebral Disc Herniation ◽  
Facet Joints ◽  
Single Level ◽  
Neurological Improvement ◽  
Bony Spur ◽  
Radiological Examinations

Cervical myelopathy is caused by degenerative processes of the spine including intervertebral disc herniation and posterior spur usually developing at C3/4 to C5/6. C7/T1 single level myelopathy is very rare because of the anatomical characteristics. Facet joint arthrosis can be a cause of cervical myelopathy but only a few cases have been reported. The authors report an extremely rare case of C7/T1 myelopathy caused by facet joint arthrosis. A 58-year-old male presented with hand and gait clumsiness. The radiological examinations revealed severe C7/T1 facet joint arthrosis with bony spur extending into the spinal canal, which compressed the spinal cord laterally. The T1 spinous process indicated nonunion of a “clay-shoveler's” fracture, which suggested that his cervico-thoracic spine had been frequently moved, and thus severe arthrosis had occurred in the facet joints. A right hemilaminectomy of C7 and C7/T1 facetectomy with single level spinal fusion led to complete neurological improvement.

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.

Delayed cervical myelopathy caused by bomb shell fragment

1976 ◽  
Vol 44 (5) ◽  
pp. 626-627 ◽  
Author(s):  
Katsumasa Amitani ◽  
Yuichi Tsuyuguchi ◽  
Sinsuke Hukuda
Keyword(s):  
Foreign Body ◽  
Cervical Myelopathy ◽  
Rare Case ◽  
Foreign Body Reaction ◽  
Content Type ◽  
Shell Fragment ◽  
Fine Print

✓ A rare case of delayed cervical myelopathy caused by a bomb shell fragment is reported. The fragment lay intradurally with minimum foreign body reaction. Symptoms did not begin to occur until 17 years after injury.

Large Vertebral Body, in Addition to Narrow Spinal Canal, Are Risk Factors for Cervical Myelopathy

1996 ◽  
Vol 9 (3) ◽  
pp. 177???186 ◽  
Author(s):  
Sinsuke Hukuda ◽  
Li Fang Xiang ◽  
Shinji Imai ◽  
Akitomo Katsuura ◽  
Tohru Imanaka
Keyword(s):  
Risk Factors ◽  
Vertebral Body ◽  
Cervical Myelopathy ◽  
Spinal Canal ◽  
Narrow Spinal Canal

scholarly journals Hepatocellular carcinoma presenting as thoracic spinal canal metastasis with no clinical primary foci: A report of a rare case and review of the literature

2015 ◽  
Vol 10 (4) ◽  
pp. 2333-2336 ◽  
Author(s):  
RUNZHE CHEN ◽  
ZENGXIN GAO ◽  
XIAOTAO WU ◽  
JOS L. CAMPBELL ◽  
PEI ZHANG ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Spinal Canal ◽  
Rare Case ◽  
Review Of The Literature ◽  
Thoracic Spinal

Achondroplasia and cervical laminoplasty

2009 ◽  
Vol 11 (4) ◽  
pp. 417-420 ◽  
Author(s):  
June Yoshii ◽  
Vincent C. Traynelis
Keyword(s):  
Surgical Treatment ◽  
Cervical Myelopathy ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Adult Woman ◽  
Segmental Motion ◽  
Cervical Laminoplasty ◽  
Canal Stenosis

Achondroplasia is associated with short pedicles that predispose individuals with this trait to develop symptomatic spinal canal stenosis. Laminoplasty is an excellent means of treating cervical myelopathy due to stenosis in selected individuals. Laminoplasty preserves segmental motion and stability, both of which are of benefit to all individuals. The authors report the successful surgical treatment of an achondroplastic adult woman with laminoplasty. This procedure alleviated her symptoms, and she was doing well at 2-year follow-up.

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