A diagnostic dilemma: cervical myelopathy in the presence of chiari 1 malformation and multi-level cord compression in a 79-year-old woman.
Chiari 1 malformation (CM1) is an unusual finding in the elderly population. Presenting features can overlap with other conditions including cervical spondylotic myelopathy (CSM); a more prevalent pathology in this age group. We present a rare case of CM1 in a 79-year-old woman with concomitant CSM who made an excellent recovery following a combined foremen magnum decompression and C5 skip laminectomy.
Bullock
Marc
M
Department of Neurosurgery, Leeds General Infirmary, Leeds, UK. bullockmd@hotmail.co.uk
Kanatas
Anastasios
A
Pal
Debashish
D
Towns
Gerry
G
D000368:Aged; D001139:Arnold-Chiari Malformation / Q000175:diagnosis / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D005539:Foramen Magnum / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*