BMJ Case Reports 2018; doi:10.1136/bcr-2018-224434
  • Images in…

Role of dynamic MRI in occult cervical canal stenosis

  1. Girish Menon
  1. Department of Neurosurgery, Kasturba Medical College, Manipal, Karnataka, India
  1. Correspondence to Dr Ajay Hegde, dr.ajayhegde{at}
  • Accepted 2 May 2018
  • Published 14 May 2018


A 61-year-old elderly man presented to us with complaints of neck pain radiating to bilateral upper limbs with associated tingling and numbness of all four limbs since 8 months. He also had difficulty in walking and performing fine motor activities with his hands. On examination, he had spasticity of all four limbs, with exaggerated reflexes and power of 4/5 in his limbs. On evaluation with a static MRI of the cervical spine, a T2 cord signal hyperintensity was found at the C3–4 junction with no compression noted in sagittal and axial MRI sections. A dynamic X-ray of the cervical spine showed grade 1 …

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