Abstract
Two cases of delayed progressive paralysis of the upper limbs in an adult and a teenage patient, without neurological deficits in other regions of the body, are presented. In both cases, the pathology appeared to be a traction lesion of the middle cervical and lower cervical nerve roots, due to abnormal angulation of the nerve roots, which first ran up and then downward in the neural foramina and canal. Re-routing of the nerve roots by removing part of the floor of the neural canal, or by a facetectomy, appeared to offer extensive improvement or full recovery.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Appleby A., Foster J. B., Hankinson J., Hudgson P. The diagnosis and management of the Chiari anomalies in adult life. Brain. 1968 Mar;91(1):131–140. doi: 10.1093/brain/91.1.131. [DOI] [PubMed] [Google Scholar]
- Banerji N. K., Millar J. H. Chiari malformation presenting in adult life. Its relationship to syringomyelia. Brain. 1974 Mar;97(1):157–168. doi: 10.1093/brain/97.1.157. [DOI] [PubMed] [Google Scholar]
- Carmel P. W., Markesbery W. R. Early descriptions of the Arnold-Chiari malformation. The contribution of John Cleland. J Neurosurg. 1972 Nov;37(5):543–547. doi: 10.3171/jns.1972.37.5.0543. [DOI] [PubMed] [Google Scholar]
- Hall P. V., Campbell R. L., Kalsbeck J. E. Meningomyelocele and progressive hydromyelia. Progressive paresis in myelodysplasia. J Neurosurg. 1975 Oct;43(4):457–463. doi: 10.3171/jns.1975.43.4.0457. [DOI] [PubMed] [Google Scholar]
- Lassman L. P., James C. C., Foster J. B. Hydromyelia. J Neurol Sci. 1968 Jul-Aug;7(1):149–155. doi: 10.1016/0022-510x(68)90010-5. [DOI] [PubMed] [Google Scholar]
- Logue V. 14th crookshank lecture syringomyelia: a radiodiagnostic and radiotherapeutic saga. Clin Radiol. 1971 Jan;22(1):2–16. doi: 10.1016/s0009-9260(71)80003-x. [DOI] [PubMed] [Google Scholar]
- SPILLANE J. D., PALLIS C., JONES A. M. Developmental abnormalities in the region of the foramen magnum. Brain. 1957 Mar;80(1):11–48. doi: 10.1093/brain/80.1.11. [DOI] [PubMed] [Google Scholar]