Mark Hornyak, MDBoard Certified Neurosurgeon
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Educational Cases | Mark Hornyak, MD
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Cases
66 yo woman presents with leg greater than back pain Greater than 1 year duration Pain radiates down back of legs Numbness and tingling in calves No weakness, but reports falling Worsens with walking, better with rest Has had injections – limited benefit Has tried PT Ibuprofen helps Smokes ½ ppd; cutting down
View Case →66 yo woman presents with leg greater than back pain Greater than 1 year duration Pain radiates down back of legs Numbness and tingling in calves No weakness, but reports falling Worsens with walking, better with rest Has had injections – limited benefit Has tried PT Ibuprofen helps Smokes ½ ppd; cutting down
View Case65 year-old man presents to ER after multiple falls. Describes progressive hand weakness and loss of dexterity along with difficulty walking resulting in multiple falls recently
View Case39 year-old woman presents with neck and shoulder pain radiating into her arms
View Case27 yo man presenting with low back pain for five years. Radiates to posterior Left thigh Worse with flexion and extension; better w rest No numbness, tingling, weakness. Failed conservative care.
View Case48 year-old woman presenting with back and right leg pain Pain worsening despite conservative management Back and leg both 9/10 Leg pain goes to bottom of foot Has numbness of her foot on exam and some weakness of her ankle.
View Case69 yo man presents with severe right ankle weakness (foot drop). He has bilateral foot numbness and moderate back pain radiating into his legs. Neurodiagnostic testing confirms L5 radiculopathy.
View Case61 year old man undergoes unrelated surgical procedure. Upon waking from surgery reports new pain, numbness, tingling in his forearms and hands and weakness of his legs. No prior history of arm problems No neck pain Neuro exam with sensory loss in medial hands and radial forearm into axilla Proximal leg weakness Urgent MRI c-spine obtained
View CaseInformation on this site should not be relied upon to make a medical diagnosis or determine treatment for a medical condition. Case examples are educational and de-identified. They do not represent expected outcomes for any individual patient. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.
