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Journal of Korean Neurosurgical Society 2003;33(5): 517-520.
Cervical Myelopathy Due to Calcification of Ligamentum Flavum at the Atlantoaxial Junction: Case Report.
Seung Joon Lee, Seong Hoon Oh, Kyu Suk Lee, Jin Hwan Cheong
Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea. osh8496@hanyang.ac.kr
The authors report a very rare case of marked segmental stenosis of the atlantoaxial junction causing cervical myelopathy. A 53-year-old woman suffered from burning paresthesia of both upper extremities and progressive gait disturbance for 3 years. Magnetic resonance images showed that spinal cord was markedly compressed due to hypertrophied and calcified ligamentum flavum at the atlantoaxial junction. She made a full recovery following decompressive laminectomy of atlas and axis. A posterior decompression may constitute adequate treatment and provide neurological improvement.
Key Words: Ligament flavum; Calcification; Atlantoaxial junction; Myelopathy; Laminectomy
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