A clinico-radiological analysis of 74 cases of ossification of the posterior longitudinal ligament is reported. Eighteen cases (24%) were asymptomatic or only had neck or shoulder pain; 16 cases (22%) showed signs of radiculopathy, and the remaining 40 cases (54%) had myelopathy. Ossification of the posterior longitudinal ligament developed most frequently at C5, and was rare in thoracic and lu...

Abstract Introduction Idiopathic spinal cord herniation is a rare entity that characterized by the displacement of through defect in dural layer and presents with symptoms myelopathy. Surgical management usually results good outcomes. Case presentation A 58-year-old female patient presented weakness both legs since four months. Her neurological examination showed paraplegia lower extremities, v...

The term dysautonomia is used when there is a derangement in the reflex mechanisms of the limbic system resulting in improper control of pulse and blood pressure and even syncope sometimes. Cervical myelopathy may be complicated by dysautonomia and may rarely cause syncope; however, prolonged coma as a result of autonomic dysfunction in traumatic cervical myelopathy has not been described in th...

The authors report two cases of cervicomedullary decompression of foramen magnum (FM) stenosis in children with achondroplasia using intraoperative computed tomography (iCT). A 14-month-old girl with myelopathy and retarded motor development, and a 10-year-old girl who had already undergone incomplete FM decompression was presented with myelopathy. Both patients underwent decompressive sub-occi...

In 1964, a progressive myelopathy involving the thoracic region was termed Tropical Spastic Paraparesis (TSP). Subsequently a similar myelopathy associated with HTLV-1 antibodies in both serum and CSF patients were found and named HAM (HTLV-1 associated myelopathy).1 The epidemiological, clinical and pathological features of cases from India are similar to the description form rest of World, th...

We reviewed 6 patients with atlanto-axial (C1-2) deformities secondary to neglected odontoid fractures. All patients (except one with recent injury) were asymptomatic for a long period before development of neck pain or myelopathy, despite obvious subluxation and kyphotic deformities at the C1-2 joint complex. Patients were treated conservatively, except for one who underwent posterior spinal f...

Atlantoaxial instability frequently causes extrinsic cervical myelopathy via anterior displacement of the posterior arch of the atlas. However, upper cervical myelopathy resulting from atlantodental osteo-arthritis with the hypertrophic dens due to atlantoaxial instability is very rare. We present a case of upper cervical myelopathy secondary to atlantoaxial instability and atlantodental osteoa...

Skeletal fluorosis is rare in NorthAmerica. It can present with back pain and extremity weakness. Immobilization of the spine and the extremity joints can occur. It is usually caused by abnormally increased oral fluoride intake over many years. Epidural lipomatosis is usually caused by idiopathic obesity or corticosteroid use. It has been linked to highly active antiretroviral therapy (HAART) f...

Cervical spondylotic myelopathy (CSM) refers to impaired function of the spinal cord caused by degenerative changes of the cervical spine resulting in spinal cord compression. It is the most common disorder in the United States causing dysfunction of the spinal cord. A literature review of the natural history of mild cervical myelopathy is undertaken. Clinical presentation and current concepts ...