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Can I read A case of cervical OPLL and DISH mimicking stroke on EtoBox?
A case of cervical OPLL and DISH mimicking stroke by Rudra Mangesh Prabhu; Tushar N. Rathod; Shubhranshu S. Mohanty; Bhushan S. Hadole; Nandan A. Marathe; Abhishek K. Rai is a Medicine article available to read on EtoBox.
What is A case of cervical OPLL and DISH mimicking stroke about?
## Background: Ossification of the posterior longitudinal ligament (OPLL) is a progressive disorder that mostly involves the cervical spine. It is more prevalent in East Asian countries. Patients typically present with the gradual onset of myelopathy, while about 5% show rapid progression. ## Case Description: A 51-year-old diabetic and hypertensive male presented with a left-sided hemiparesis following trivial trauma. The first diagnosis was a stroke, but the subsequent workup proved negative. Subsequently, the MRI and CT studies demonstrated significant cord compression due to OPLL extending from C2 to C7. There was also a heterogeneous hyperintense intramedullary cord signal indicative of edema/myelomalacia in the retro- odontoid region. The CT also diagnosed C2–C7 diffuse idiopathic skeletal hyperostosis. ## Conclusion: Patients with cervical myelopathy due to OPLL rarely present about 5% of the time with the acute onset of neurological deficit following minor trauma. Certainly, one must consider high cervical OPLL as responsible for hemiparesis in a patient whose brain MR has ruled out a stroke.
Who reads A case of cervical OPLL and DISH mimicking stroke?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Rudra Mangesh Prabhu; Tushar N. Rathod; Shubhranshu S. Mohanty; Bhushan S. Hadole; Nandan A. Marathe; Abhishek K. Rai
- Publisher
- Scientific Scholar
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)