Case Presentation: Cervical Stenosis - Case 6

History and Physical

  • 50 year-old right handed lady who presented with progressive weakness, loss of manual dexterity of both upper extremities, right more than left, which had resulted in difficulty with writing and using utensils and difficulty with grooming and cooking. She had developed weakness of lower extremities with pain of 10/10 in upper extremities as well.


  • His neurological examination showed clinical manifestation of cervical radiculopathy.
 


Imaging

Case 6 Image 1
  • MRI scan of patients cervical spine (neck) shows severe stenosis (narrowing) at C5-C6, and C6-C7




Surgical Procedure

Case 6 Image 2
  • After a comprehensive work-up and eliminating other potential contributing causes of her disease, and appropriate period of consecrative measures, she underwent anterior cervical discectomy and instrumented fusion (ACDF) at C56 and C67.


Post op Course


  • She did well post operatively with immediate significant improvement of her manual dexterity and pain. She was discharged home in two days.





Last Updated on Wednesday, 18 January 2012 14:34