Name of the Patient : Abc Xyz Pratappurlmn / M / 50 yrs.
Referred by : Dr. Abc Xyz. Kapadia.
Examination : M.R.I. of the Cervical Spine.
CLINICAL PROFILE :
C/O pain on the right side of forehead radiating to the neck since 3 years.
Now C/O numbness in the first 3 fingers on the right hand.
M.R.I of the cervical spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
The cervical intervertebral discs show loss of water content. The cervical vertebral bodies show areas of fatty replacement of the normal marrow.
There is continuous ossification of the posterior longitudinal ligament over the C3 to C6 vertebral levels.
A large left paracentral disc herniation is seen to indent the cord and the left C5 nerve root at the C4-C5 level.
Postero-central disc herniations are noted at the C3-C4, C5-C6 and C6-C7 levels. A postero-central disc protrusion is noted at the C2-C3 level.
Small posterior peridiscal osteophytes are noted at the C3-C4, C4-C5 and C5-C6 levels.
The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.
The cervical spinal cord reveals normal signal intensity.
The atlanto-axial region and the cervico-medullary junction are unremarkable.
The MRI features are suggestive of :
1. Continuous ossification of the posterior longitudinal ligament over the C3 to C6 vertebral levels.
2. A large left paracentral disc herniation at the C4-C5 level, indenting the left C5 nerve root.
3. Postero-central disc herniations at the C3-C4, C5-C6 and C6-C7 levels.