Erschienen in:
29.02.2016 | Clinical Case
Freiburg Neuropathology Case Conference
Spinal Cord Compression Due to a Lesion Adjacent to the Dens Axis
verfasst von:
C. A. Taschner, S. Doostkam, U. Hubbe, H. E. Schaefer, H. Urbach, C. Beck, M. Prinz
Erschienen in:
Clinical Neuroradiology
|
Ausgabe 1/2016
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Excerpt
A 76-year-old female patient presented with pain radiating to the left occiput since 1 year. Pain was progressive through the past months and could be provoked by inclination and turning of the head to her right side. She did not experience local neck pain and showed no neurologic deficits. She had no paresis or sensory deficits; coordination was intact, and complex gait tests could be performed without restrictions. Upon clinical examination her reflexes were equal on both sides, there were no exaggerated or otherwise pathologic reflexes. Her history revealed no cranio-cervical trauma or rheumatologic diseases. Previous conservative treatment had increased the pain. Imaging revealed a cervical pathology. The lesion was resected via a transoral approach. Transnasal intubation was performed and a silicone gastric tube was introduced for postoperative parenteral nutrition. …
