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#{149} Richard of the B. Towbin, Day1 MD a. Figure 1. Anteroposterior (AP) (a) and lateral (b) b. cervical radiographs reveal no bony abnormality. U HISTORY An 8-month-old history of irritability, female infant regression with a 3-week frequency Episodes in develop- U FINDINGS Results from cervical mal (Fig 1). Cervical strated mass spinal radiography myelography C-2 to C-6 compressed were demon(Fig 2). nor- mental milestones, of bowel movements ofacute irritability day. less The patient frequently than and decreased was examined. occurred 12-15 crawled, before smiled, the onset a ventral extending cord was intradural from markedly extramedullary The and times and of the per played present illness. Bowel movement frequency changed from daily to every other day, and her appetite was diminished, with a loss in weight from 22 to 18 pounds (9.9 to 8. 1 kg). Neurologic examination revealed diffuse, increased deep tendon reflexes and limited neck flexion but no focal neurologic deficits. She preferred to lie prone. The results of the remainder of her examination were normal. Cervical radiography, myelography, followed immediately by computed tomography (CT), displaced posteriorly. The cord deformity, which was better seen with CT (Fig 3), cxtended caudally several segments below the visualized mass.
Radiographics – Radiological Society of North America, Inc.
Published: Nov 1, 1992
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