A 52-year-old male presented with acute purulent discitis and epidural abscess of the cervical spine manifesting as neck pain and slight fever, followed by sudden onset of quadriparesis. Magnetic resonance (MR) imaging showed a low-signal-intensity area in the C6/7 disc space and epidural space ventral to the spinal cord with peripheral enhancement. Surgical exploration using an anterior approa...

Spinal epidural abscess (SEA) is a rare clinical entity associated with a high morbidity and mortality. It usually spans 3-4 levels. The literature contains very few reports of extensive or panspinal epidural abscesses and hence there is no consensus on management of such cases. We describe a case of 56 years old male presenting with a posteriorly located SEA extending from the Foramen Magnum t...

Introduction: Degenerative changes of the cervical spine are more common in elderly, but anterior cervical osteophytes that cause problems in swallowing are rare. The most common cause of this problem is DISH disease (diffuse idiopathic skeletal hyperostosis). Trauma is also suggested as a potential cause in osteophyte formation. Case Report: We report a rare case of anterior cervical osteop...

Anterior cervical discectomy and fusion (ACDF) is one of the most commonly performed procedures in spine surgery proven effective in the treatment of various cervical pathologies [1-4]. Single level ACDF is generally a safe procedure with a very good outcome carrying minimal or no complications. However, although rarely encountered, complications can arise but are generally not a source of majo...

SARAH Network of Rehabilitation Hospitals, Brasília DF, Brazil: 1 Neurosurgeon; 2 Radiologist; 3 Surgeon. Correspondence: Paulo Cesar Rocha Oliveira; Diagnostic Imaging Department, Hospital SARAH – Brasília; SARAH Network of Rehabilitation Hospitals; SMHS Qd 501 / Bl A; 70335-901 Brasilia DF Brasil; E-mail: [email protected] Conflict of interest: There is no conflict of interest to declar...

Background & Importance: Disc herniation is defined as the prolapsed of material disc into the spinal canal. If the disc fragment is free in spinal canal, it is called sequestration disc fragment. Occasionally, alteration in sequestration disc fragment makes the diagnosis of the disc herniation, challenging. Case Presentation: We reviewed a rare case of the cervical sequestrated disc...

o bjective: to describe the epidemiological characteristics of patients with cervical spine injury admitted to rajaee hospital, shiraz, iran. m e thods: this cross-sectional study includes all patients admitted with impression of cervical column injury with or without cervical cord injury from october 2009 to march 2012 to our level i trauma center in shiraz. we recorded the patients’ character...

INTRODUCTION Overlooking an etiologic hypothesis in acute neck pain with dysphagia may lead to misdiagnosis. CASE REPORT A 51-year-old man who had received cervical manipulation came to the emergency unit with evolutive acute neck pain, cervical spine stiffness and odynophagia, without fever or other signs of identified pathology. Cervical X-ray and CT angiography of the supra-aortic vessels ...

BACKGROUND A cautious outlook towards neck injuries has been the norm to avoid missing cervical spine injuries. Consequently there has been an increased use of cervical spine radiography. The Canadian Cervical Spine rule was proposed to reduce unnecessary use of cervical spine radiography in alert and stable patients. Our aim was to see whether applying the Canadian Cervical Spine rule reduced ...