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OPLL - Ossification of the Posterior Longitudinal Ligament

Power KP - MedPix (2012)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: OPLL - Ossification of the Posterior Longitudinal Ligament

History: 57 yo man with type 2 diabetes presents with 4-5 mo of posterior neck and shoulder pain accompanied by severe “shock like” pain down neck w/flexion. In addition, he c/o walking “like a drunken sailor” and loss of fine motor skills, such as difficulty buttoning shirt.

Findings: • Plain Films, CT, and MR demonstrate Ossification of the Posterior Longitudinal Ligament (OPLL) with subsequent marked narrowing of the spinal canal. • Also notice the associated syringohydromyelia, below the narrowing

Ddx: None (pathognomonic)

Dxhow: Imaging

Exam: Physical exam remarkable for 2-3 beats of ankle clonus bilaterally.

No MeSH data available.


CT sagittal with OPLL at the C2-6 levels
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MPX2134_synpic57587: CT sagittal with OPLL at the C2-6 levels


OPLL - Ossification of the Posterior Longitudinal Ligament

Power KP - MedPix (2012)

CT sagittal with OPLL at the C2-6 levels
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2134&req=5

MPX2134_synpic57587: CT sagittal with OPLL at the C2-6 levels

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: OPLL - Ossification of the Posterior Longitudinal Ligament

History: 57 yo man with type 2 diabetes presents with 4-5 mo of posterior neck and shoulder pain accompanied by severe “shock like” pain down neck w/flexion. In addition, he c/o walking “like a drunken sailor” and loss of fine motor skills, such as difficulty buttoning shirt.

Findings: • Plain Films, CT, and MR demonstrate Ossification of the Posterior Longitudinal Ligament (OPLL) with subsequent marked narrowing of the spinal canal. • Also notice the associated syringohydromyelia, below the narrowing

Ddx: None (pathognomonic)

Dxhow: Imaging

Exam: Physical exam remarkable for 2-3 beats of ankle clonus bilaterally.

No MeSH data available.