Kenny, "Cranial neuropathy, myeloradiculopathy
, and myositis: complications of Mycoplasma pneumoniae infection," Archives of Neurology, vol.
If left untreated, these fistulae can produce symptoms of vertebrobasilar insufficiency via vascular steal phenomena, aneurysm formation with subsequent thromboembolism due to abnormal flow patterns, compressive myeloradiculopathy
due to progressive engorgement of the cervical epidural veins, or catastrophic intramedullary hemorrhage due to intramedullary venous hypertension .
The patients presented with paramedian CDH, as defined by a paramedian herniation that pressed the spinal cord unilaterally and deformed it into a comma shape, pressing the spinal cord and nerve root and then generating myeloradiculopathy
, myelopathy, cerebellar dysfunction, transverse myelitis, Guillain-Barre syndrome, optic neuritis, peripheral neuropathy have also been described.
A 57-year-old male presented with a one year history of cervical myeloradiculopathy
. Imaging showed a large C4-C5 disk herniation, cord compression at C3 and C4, ossification of the posterior longitudinal ligament at C4 and C5, and osteophytic changes at C6 and C7.
Patients with infection & infestations causing compressive myeloradiculopathy
such as tuberculosis, neurocysticercosis etc are excluded from this study.
MRI cervical spine ruled out any compressive myeloradiculopathy
. Upper GI endoscopic study showed ulcerated mucosa in body of stomach, Histological biopsy of stomach confirmed the presence of adenocarcinoma.