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Contributor:
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Dr. Chris Ekong
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Age: 38
Sex: Male
History: October 27 - Neck pain and progressively worsening quadruparesis x 8 months. No bladder or bowel problems.
Examination revealed normal level of conciousness and normal cranial nerves, grade 4 power in all 4 limbs, hyperflexia in all 4 limbs, and five homberg's sign.
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Clinical Diagnosis: Cervical myelopathy - rule out demyelinating disease or cervical cord compression. MRI of the brain and cervical spine ordered.
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Progress: A diagnosis of C56 disc protrusion remitting on C56 spinal stenosis and myelopathy was made. this was followed with anterior C56 discoidectomy and partial corpectomy, cervical cage and plating.
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Progress: November 2, 2009. Patient had no more neck pain and the quadruparesis improved dramatically. A follow up MRI will be done in 3 weeks.
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