The patient came to the clinic 25-March-2006 complaining of numbness
both hand, more the right for 10 months, ataxic gait with right
lower limb pain and tightness both legs. The patient is hypertensive
for 15 years and diabetic for 6 months.
On examination, the
patient was unable to unclothe his shirt with weak both upper
limbs. The right deltoid was 3/5, biceps, triceps, and right hand
grip and extension 4/5 with weak extension of the left hand. He had
hypalgesia of both hands. The patient had elements of Brown-Sequard
syndrome with weal right lower limb and hypalgesia of the left lower
MRI done 15-October-2005 showing huge PCD C3-4 with malacia of
the spinal cord at that level with retrolisthesis of the same
segment. New MRI done 26-March-2006 and the same findings were
confirmed and was operated.
Discectomy of C3-4 with osteophytectomy until the dura was seen
free at that level was performed. During that, instability was noted
during the procedure, for what using one level miniplate with 4
screws 14 mm length fusion of C3-4 was performed and check image
intensifier was performed to confirm the proper alignment of the
bony and device position.
Prompt postoperative recovery.