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The
patient came to the clinic 15-March-2010
complaining of neck pain for 1 year and pain of
both upper limbs and shoulders with cephalic
syndrome. She is unable to walk for several
months. |
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On examination: the
patient is unable to elevate both upper limbs
with limitation of neck movement and pain when
looking to right and downward. She has analgesia
both upper limbs from C3 down to D2 both sides.
There is profound weakness all muscles upper
limbs 3/5. Hoffmann positive in the left side
and Babinski positive both sides. There is
hypalgesia both lower limbs below the knees. |
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She is a known
hypertensive for 5 years. |
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MRI brain with
contrast and MRA of the brain and carotids and
MRI cervical spine
done 16-March-2010 showing severe cervical
stenosis at C3-4 with malacia of the spinal cord
at this level. ESR was 64 mm/h and uric acid was
6.8. |
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Decompressive laminectomy of
C3-4 and partial of C2 and C5 was performed.
There was no epidural fat in this area and the
compression was more pronounced in the right
side. |
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Routine closure of the wound. |
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Smooth postoperative
recovery, and the power of both upper limbs became
better. |
