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The patient
came to the clinic 29-November-2010 complaining
of numbness both upper limbs ulnar division for
two months. |
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MRI
cervical
spine performed 25-November-2010 showing
huge wide based extrusion C5-6 compressing
the spinal cord with malacia of the later, with
bulge C4-5. |
 |
On
examination: The patient has no neck pain,
but has hypalgesia both ulnar territories of the
hands with weak grip and extension of both hands
4/5 and both triceps muscles 4/5. The weakness
is more profound in the left with hypotrophy of
the interossii left hand. There is no
myelopathic syndrome. |
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Using image-intensifier, discectomy of C5-6 was
performed and osteophytectomy to achieve
complete decompression of the spinal cord. The
dura was thin and transparent. |
 |
Routine
closure of the wound. Smooth postoperative
recovery and improvement of the power of both
upper limbs. |