The patient came to the hospital with known history of convulsions, and felt down 14-February-2002 after what he got extruded disc C4-5 with to lesser degree C3-4 with tetraparesis, more to the right and anesthesia below C4 level. MRI cervical spine performed recently, showing extruded disc C4-5 with stenosis of C3-4. The patient was unable to walk with week both upper limbs, more the right. The patient has ankylozing spondylitis.

Through anterior approach, discectomy of C4-5 with meticulous cleaning until the dura was seen beneath the removed disc space and decompression of C3-4 was performed.

Routine closure of the wound.

Smooth postoperative recovery and improvement of the power of all limbs.

The patient came to the clinic 02-March-2002 walking with clean wound with still having slight weakness of the right upper limb dorsiflexion right foot with hypalgesia left foot. (Brown-Sequard syndrome) in remission.

The patient then came 14-April-2002, 22-May-2002 showing gradual improvement of his condition. The patient was sent for investigation concerning his epi activity. He was put in Epanutin 100 mg three times a day.

The patient last time seen 07-September-2008 telling that he he got neck pain for 4 days. On examination he has weak grip and extension right foot and hypalgesia below the left knee. He was advised to performed through studies and given medications, after then he disappeared.

The patient had sudden trauma to the spinal cord at the C4-5 and C3-4 levels, causing such a catastrophe.

Surgical intervention helped him a lot.