Case of the Week
Repair of skull base defect
28 year old woman presents with complaint of right-sided hearing loss and sense of fullness within her right ear Exam with conductive hearing loss in right ear
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Educational Case Library
DegenerativeSpine
DegenerativeSpine
Spondylolisthesis and Lumbar Stenosis
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
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DegenerativeSpine
Cervical stenosis with myelopathy
65 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
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DegenerativeSpine
Cervical Arthroplasty
39 year-old woman presents with neck and shoulder pain radiating into her arms
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DegenerativeSpine
DegenerativeSpine
Lumbar Disc Replacement (artificial disc)
27 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.
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DegenerativeSpine
Lumbar Disc Herniation
48 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.
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DegenerativeSpine
Lumbar laminectomy with Interlaminar Stabilizer
69 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.
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DegenerativeSpine
Acute cervical disc herniation
61 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
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