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Taiwan Academy of Physical Medicine and Rehabilitation
Spinal cord atrophy;ossification and hypertrophy of ligamentum flavum
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Full-Text Articles in Medicine and Health Sciences
The Diagnosis And Treatment Of A Spinal Cord Atrophy: Casereport, Yun-Yee Chen, Din-E Shan, Min-The Cheng, Tao-Chang Hsu
The Diagnosis And Treatment Of A Spinal Cord Atrophy: Casereport, Yun-Yee Chen, Din-E Shan, Min-The Cheng, Tao-Chang Hsu
Rehabilitation Practice and Science
This is a case of a 64-year-old male with difficulty in ambulation for 40 years. Physical examination revealed a defect in vibration and positional sense over the lower extremities. Muscle power of the upper extremities was normal. The lower extremities could still resist force, but there was a little atrophic change in the quadriceps muscle and weakness over the iliopsoas muscle.Laboratory data were all negative, including CSF, routine blood, urine and stool specimens. However, MRI revealed hypertrophy of the ligamentum flavum with spinal cord compression. CT with myelogram revealed T2-T10 spinal cord atrophy. SSEP revealed T-myelopathy. EMG revealed upper motor …