Turning Heads: Neck Pain And Facial Numbness In An Adolescent

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Turning Heads: Neck Pain And Facial Numbness In An Adolescent - Page #3

Lab Studies: None Other Studies: Two View Cervical Spine X-ray: No degenerative changes or acute fracture were appreciated. Slight anterolisthesis at C2-3 and straightening of cervical lordosis are present. The body of C2 appears normal. There is a lesion of the posterior portion of vertebrae and spinous process of C2. <a href="CaseStudyImages/CS1TurningHeadsNeckP-1247.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <br>MRI Cervical Spine without Contrast: An expansile lytic lesion at C2 is centered on the spinous process measuring 5.8 x 5.2 x 4.1cm. There is encroachment of the spinal canal with tumor filling the left foramen. Moderate-to-high grade foraminal stenosis of the canal bilaterally is present. The differential includes osteoblastoma or aneurysmal bone cyst, and tissue diagnosis is needed. <a href="CaseStudyImages/CS2CS1TurningHeadsNe-1247.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br> <br>CTA Neck: A lesion causing 90 degrees of encasement along the posteromedial margin of left vertebral artery with preserved flow bilaterally is appreciated. Consultations: Orthopedic Spine <br>Neurosurgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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