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Cervical Spinal Stenosis - Case 2

A 77 year-old woman presented with falling and an unsteady gait. Her neurological exam showed increased tone and hyperactive reflexes in the legs and bilateral Babinski signs.

Note the Characteristic "Scalloping" Pattern

Cervical Spondylosis: T2-weighted sagittal MRI of the cervical spine. Note the multilevel stenosis from C2-3 through C6-7. The CSF (bright white signal) has a scalloped appearance from the stenosis at multiple levels.

Cervical stenosis is a common cause of gait disturbance in the elderly. It results from progressive narrowing of the spinal column due to a combination of disk degeneration, bony spurs and ligament hypertrophy.


Revised 11/29/06
Copyrighted 2006. David C Preston