RADICULOMYELOPATHY DUE TO TUMORAL CALCIFICATION OF THE LIGAMENTUM FLAVUM OF THE CERVICAL SPINE

A case of a 68-year-old woman with radiculomyelopathy caused by unilateral tumoral calcification of the ligamentum flavum of the cervical spine is reported. The patient developed the left shoulder pain and tetraparesis in the previous two years, and the symptoms has deteriorated in spite of conservative therapy. Neurological examination revealed motor weakness, hyperreflexia and hypesthesia in the four extremities. Neuroradiologically, a unilateral nodular opacification was shown in the left C4-C5 level. CT scan revealed nodular calcification, and MRI showed marked compression of the cervical cord by the calcified mass. Removal of the calcification through the left hemilaminectomy was performed using ultrasonic bone curettage. Light microscopic examination showed calcified deposits in the ligamentum flavum without crystals of calcium pyrophosphate dihydrate (CPPD). The patient was discharged from the hospital with improvement of the neurological symptom

RADICULOMYELOPATHY DUE TO TUMORAL CALCIFICATION OF THE LIGAMENTUM FLAVUM OF THE CERVICAL SPINE

A case of a 68-year-old woman with radiculomyelopathy caused by unilateral tumoral calcification of the ligamentum flavum of the cervical spine is reported. The patient developed the left shoulder pain and tetraparesis in the previous two years, and the symptoms has deteriorated in spite of conservative therapy. Neurological examination revealed motor weakness, hyperreflexia and hypesthesia in the four extremities. Neuroradiologically, a unilateral nodular opacification was shown in the left C4-C5 level. CT scan revealed nodular calcification, and MRI showed marked compression of the cervical cord by the calcified mass. Removal of the calcification through the left hemilaminectomy was performed using ultrasonic bone curettage. Light microscopic examination showed calcified deposits in the ligamentum flavum without crystals of calcium pyrophosphate dihydrate (CPPD). The patient was discharged from the hospital with improvement of the neurological symptomsidentifier:Journal of Nara Medical Association Vol.56 No.1 p.37-42identifier:13450069identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/122identifier:Journal of Nara Medical Association, 56(1): 37-4

Outcomes in Newly Diagnosed Atrial Fibrillation and History of Acute Coronary Syndromes: Insights from GARFIELD-AF

BACKGROUND: Many patients with atrial fibrillation have concomitant coronary artery disease with or without acute coronary syndromes and are in need of additional antithrombotic therapy. There are few data on the long-term clinical outcome of atrial fibrillation patients with a history of acute coronary syndrome. This is a 2-year study of atrial fibrillation patients with or without a history of acute coronary syndromes

Analysis of Outcomes in Ischemic vs Nonischemic Cardiomyopathy in Patients With Atrial Fibrillation A Report From the GARFIELD-AF Registry

IMPORTANCE Congestive heart failure (CHF) is commonly associated with nonvalvular atrial fibrillation (AF), and their combination may affect treatment strategies and outcomes