A case of cervical myelopathy due to ossification of the posterior longitudinal ligament is presented. This disease is rather frequent among Japanese, but rare among non-Mongolian persons. To our knowledge, this is the first published Belgian patient with a myelopathy. The clinical and radiographic data are discussed together with a ...

We report on a 20-week fetus with manifestations similar, but not identical, to those of atelosteogenesis. The present fetus had rhizomelic micromelia with absence of ossification in the humerus, radius, ulna, and cervical and upper thoracic vertebral bodies; coronal clefts in the ossified thoracic vertebral bodies; and talipes equinovarus. The ...

A case of cervical periosteal chondroma presenting with an enlarged neural foramen is described. Review of the literature showed that cervical chondromas are rare but that their characteristic clinical and computed tomographic findings aid in their diagnosis. The computed tomographic findings of two previously reported cases of cervical periosteal chondroma ...

Pyogenic osteomyelitis of the spine is an uncommon disease. A series of 16 cases is reported. The site of involvement includes the lumbar, cervical, and thoracic segments, in that order of frequency of occurrence. Drug addiction and diabetes mellitus are important predisposing factors. The spectrum of clinical presentation is described. ...

A 22-year-old Jordanian woman with enlarged cervical lymph nodes proved histologically to be suffering from necrotizing lymphadenitis; she recovered spontaneously. She had remained in good health at four years follow up. This is the first case reported from Jordan. The clinical picture, etiology, histopathology, course and differential diagnosis of the ...

We reviewed the results of Papanicolaou smears and cervigrams obtained at the same session from 250 patients. Seven Papanicolaou smears were abnormal, and 56 cervigrams were abnormal. Fourteen cases of cervical intraepithelial neoplasia I and two cases of cervical intraepithelial neoplasia III were missed by the Papanicolaou smear but identified ...

This study reviews the radiographs and clinical case notes of 897 patients who attended the Accident and Emergency (A & E) Department of Leicester Royal Infirmary, over an 8-month period, for whom radiographs of the cervical spine were requested. The radiological interpretations by the casualty officers and junior radiologists in ...

Microcolpohysteroscopy allows one to observe the cervix and endocervix at magnifications of 1:1-1:150. More important, it permits examination of the squamocolumnar junction when it is obscured within the endocervix. This preliminary report compares standard colposcopy with a microcolpohysteroscopy technique in 65 patients with abnormal Papanicolaou smears. Using contact microcolpohysteroscopy, the ...

Two cases of cervical spondylolisthesis are reported, and the relevant English language literature is reviewed. Analysis of data derived from all of the cases reported revealed no statistically significant etiological or prognostic factors. The roentgenological evaluation, including associated anomalous findings, is presented. Etiological and clinical aspects of cervical spondylolisthesis are ...

To compare the frequency of pure condylomas and condylomatous atypia in cervical intra-epithelial neoplasia in 1972 and 1983, two equally sized consecutive series of specimens from the uterine cervix were reviewed. The 1972 material contained only 5 cases of pure condyloma, all of these being flat lesions, while the 1983 ...

The authors report the case of a 9-year-old child which suffered from a chondroblastoma of the cervical spine. He had clinical signs of superior mediastinum compression with inflammation of the respiratory upper air-way. Surgery was performed. Diagnosis was established by the pathologist. The recurrence one year later was treated again ...

Calcifying discopathy in infancy involving in the cervical spine has already been observed and described by many authors, as a well-defined clinico-radiological syndrome with a benign course. The clinical picture is composed of: pain and functional limitation, sometimes with a stiff neck, more rarely slight fever, increase of the erythrocyte ...

Intervertebral disc calcification in children is a rare occurrence. The clinical symptoms and signs are distinctively confined to the cervical area with pain, limitation of motion, and torticollis. Long tract signs or radicular involvement are extremely unusual. CT scan and cervical spinal X-ray films shown the calcification to be in ...

Osteochondroma of the cervical spine is an uncommon manifestation of a common bony tumor. A case is reported of a lesion arising from the base of the spinous process of C2. Review of the literature provided data related to the cervical spine level and location within the cervical vertebral body ...

The vertebral artery and the cervical spine are closely related anatomically, but damage to that vessel in cervical spinal injury and subsequent stroke involving the vertebrobasilar distribution has rarely been reported. A case of vertebrobasilar stroke following traumatic injury to the cervical spine is described. The anatomy of the vertebrobasilar ...

Minor musculoskeletal variants of the upper thoracic spine or of the ribs can cause effacement of the supraclavicular fossa, simulating a mass ("pseudotumor"). These variants may occur singly or in combination, and include unilateral prominence or asymmetry of the first rib, unilateral prominence or asymmetry of a cervical rib, and ...

This retrospective study reviewed clinical, radiographic, and electromyographic (EMG) findings in 108 patients with cervical radiculopathy. Radiographic evaluation included measurements of the size of the intervertebral foramina and the space for the intervertebral disk. The results showed that the clinical findings correlated well with the EMG abnormalities but not with ...

First thoracic disc protrusion is rare. Only 12 cases have been described. The rarity of the condition is probably due to relative immobility of the spine at this level. The disc protrusion is invariably lateral causing radiculopathy. Antecedent trauma is rare. Horner's syndrome may be an associated feature. Good results ...

Nerve root impingement syndrome is rare in children and adolescents. The symptomatology of the pediatric group sometimes differs from that of the adult. An accurate diagnosis is often delayed because of concerns for neoplasm, infection, and spondylolisthesis. A case report of an 11-year-old boy with symptoms and myelographic findings consistent ...

A clinical and academic imperative has developed to define high-yield criteria for cervical radiography in the emergency department setting. Presented is a review of key literature, including discussions of epidemiologic and biomechanic considerations; previously derived criteria and their value; and the limitation of the radiograph as a diagnostic tool. We ...

Review of the otolaryngologic literature reveals no reports of sudden sensorineural hearing loss resulting from manipulation of the cervical spine. Indeed, in previously reported cases of vertebrobasilar artery injury following spinal manipulation, hearing loss has received little attention. Two patients with sudden sensorineural hearing loss following cervical spine manipulation are ...

Recent studies have described premalignant changes in the endocervical epithelium, but morphological criteria for the diagnosis of cervical glandular atypia of lesser severity than adenocarcinoma in situ have not been established. Adenocarcinoma in situ is often associated with cervical intraepithelial neoplasia (CIN). The endocervical mucosa in 105 cases of CIN ...

Two patients with a costoclavicular joint were discovered by chance during a survey of cervical spines. These seem to be the first to be described in the radiological literature. No other case was found in a further review of 500 consecutive spine radiographs. The costoclavicular joint is a variant of ...

Cervical disk injuries are defined as a cervical injury associated with neurological deficits, radicular symptoms, or radiological evidence of disk degeneration, but not with a fracture or a dislocation of the cervical spine. Thirty cases covering the period from July 1982 to June 1984 were analyzed, and the following findings ...

This report concerns 12 patients, eight young adults and four adolescents, presenting with lumbar or sciatic pain. This was associated with an unusual defect of the inferior and posterior edges of the vertebral bodies of L4 or L5, together with a small bony ridge protruding into the spinal canal. We ...

Two dogs were nonambulatory and tetraparetic following cervical disk fenestration used as the treatment for cervical disk disease. Severe pain and cervical muscle fasiculation also were evident. The site of disk extrusion was localized radiographically, and cervical ventral decompression was used to remove the disk material. Recovery in both cases ...

This report provides additional documentation that the appearance of the optic disc may improve after intraocular pressure is lowered in patients with glaucoma. Photographic records of one of the authors (GLS) were reviewed retrospectively. Seven previously unreported cases showing apparent improvement of the optic disc were found, and the patients' ...

Two cases of dysphagia due to osteophytes at the level of the fifth and sixth cervical vertebrate are reported. The patients were two women aged 47 and 50 years. The diagnosis was confirmed by means of roentgenography, barium studies and, in one case, esophagoscopy. Both patients were successfully treated surgically. ...

A case of cervical diastematomyelia in an adult is reported. The patient first noted sensory and motor symptoms at 34 years of age after two episodes of cervical trauma. Metrizamide computerized tomography myelography of the cervical spine and cord showed the region of diastematomyelia and revealed a spur containing both ...

Human papillomavirus has been implicated in the etiology of cervical intraepithelial neoplasia. A retrospective audit was conducted on all colposcopically directed biopsies performed from June through November, inclusive, in the years 1980 and 1982, a total of 317 cases. In 1980, the misdiagnosis rate for condyloma was 88.9% (69 of ...

Neurologic symptoms and signs in patients with sciatica were prospectively studied and compared with myelographic and operative findings in 403 cases with lumbar disc herniation as the cause of sciatica with special reference to accuracy of the clinical level diagnosis. Fifty-six percent of the herniations at L4-5. However, pain projection ...

Cervical spine involvement in rheumatoid patients is common, the clinical symptoms varying from the asymptomatic state to severe occipito-cervical pain and various neurological syndromes. Atlanto-axial subluxation is the most common deformity and it should be operated on if it causes medullary compression signs or severe occipito-cervical headache and has an ...

Fifty-six cases of spondylolysis were encountered in 1500 lumbar spine reports reviewed. The frequency of detecting isthmus defects on anteroposterior (AP), lateral, 45-degree right and left oblique, 30-degree up-angled AP, and collimated lateral views was determined. The collimated lateral view showed the largest number of pars defects, 84% of cases. ...

Lungs and fecal samples from nine hunter-killed Rocky Mountain bighorn sheep were examined for lungworms. All samples contained adults and/or larvae of Muellerius capillaris (Mueller, 1889). Protostrongylus spp., the lungworms commonly reported from bighorn sheep, were not present in any samples. Larvae of M. capillaris bear a spine on the ...

Cervical pregnancy is gaining recognition as a serious complication of early pregnancy. In view of the increasing incidence of the condition and the formidable therapeutic problems posed, a review of the literature is timely. This paper also presents a case report illustrating many of the typical features associated with cervical ...

The intradural herniated disc is a rare complication of disc herniation. A study of the literature shows that this location is often responsible for severe neurological deficit with loss of sphincter control and a complete block shown on the myelogram. We report three cases to demonstrate the radioclinical interpretation of ...

Intradural diskal herniation is a very rare condition, particularly in the cervical region, with few reports in the literature. A case is described of a young man who developed transient quadriparesia immediately after a car accident. Three months later when bending his neck he suddenly experienced a sense of numbness ...

A case of primary osteosarcoma of the C-6 vertebra in a 39-year-old woman is described. The tumor presented with signs and symptoms of radicular involvement, which were successfully treated surgically. Osteosarcomas of the vertebral column are uncommon, and their localization in the cervical region is definitely rare. The literature on ...

Three cases of cervical radiculomyelopathy caused by calcification of the ligamenta flava of the cervical spine are reported. A review of the literature yielded 13 cases of calcification of the cervical ligamenta flava with findings similar to those in our cases. Specifically, we observed that 1) all patients were more ...

Sixteen cases of dislocation and ligamentous disruptions of the cervical spine in children are reported. In five cases resulting from injury to the upper cervical spine, the roentgenographical features of the instability at the C1-C2 level are documented and their therapeutic orientation is defined. Eleven injuries were of the lower ...

Thirty-six patients with neoplastic disease suffering from chronic bilateral pain were subjected to bilateral percutaneous cervical cordotomy. The technique and precautions to be taken in bilateral percutaneous cervical cordotomy performed either in one or two stages are described using a traditional or Levin's thermocouple-monitored electrode. The sequelae, complications and immediate ...

Several reports have suggested that methylene blue be used for the selective staining of the parathyroid glands. To date, there have been no reports on the use of methylene blue in persistent or recurrent hyperparathyroidism. In 30 such cases, we found that the dye was safe and easy to administer ...

Spondylolysis or spondylolisthesis of the cervical spine, especially of the upper cervical spine, is very rare. The authors report four cases of spondylolysis of the axis and outline its roentgenographic features for differential diagnosis. The clinical course of the cases and the unvarying roentgenographic findings throughout the course strongly suggest ...

A large pedunculated myxoid liposarcoma of the cervical esophagus is presented. Because of its long pedicle, the presenting symptoms were primarily respiratory rather than digestive. The tumor lent itself to local excision rather than esophageal resection, given the absence of involvement of its pedicle and the resultant wide margin of ...

Ossification of the posterior longitudinal ligament in the cervical spine may be a cause of cervical myelopathy. This ossification has often been encountered in Japan, but only sporadically among the Caucasian races. It is therefore probable that racial factors are relevant to the pathology. During the past four years, due ...

A case with cervical myelopathy caused by massive calcifications of ligamenta flava is presented. The round radiopaque nodules were found on conventional cervical radiography. Following examination by computed tomography, the nodules were diagnosed as calcified ligamenta flava in the cervical spine. The findings were confirmed at surgery and by histological ...

There appears to be premature onset of cervical spondylosis in the cervical spines of rugby players who are then at increased risk of hyperextension injury to the spinal cord with resultant paralysis. An illustrative case report is presented. The value of and necessity for routine radiological examination of the cervical ...

The authors present 11 cases of traumatized patients without neurological deficit in spite of a gross dislocation of the cervical spine. In the effort of explaining this discrepancy various parameters have been taken into account. The vertebral canal has been noted to be abnormally wide in these cases (average 19.8 ...

Although ligamentum flavum ossification (LFO) often occurs in normal persons, there are no reports of its detection on lateral chest radiographs made during screening examinations. Review of 1,744 consecutive lateral chest radiographs identified LFO in 6.2% of males and 4.8% of females. LFO occurred mainly at the intervertebral segments from ...