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Pseudotumoral hypertrophy of the transverse ligament is a rare cause of spinal cord compression. Modalert for sale, We would like to present a case of severe compression of the craniocervical junction, related to an extraaxial mass arising from the C1-C2 joint, Modalert trusted pharmacy. Buy Modalert online no prescription,

Our patient is a 77 year old man, presenting with progressive neck pain, order Modalert online overnight delivery no prescription, Buy Modalert from canada, unsteady gait and spasticity. Physical examination was significant for sensory deficits to light touch and pinprick in all finger tips and toes, buy Modalert without a prescription, Order Modalert online c.o.d, increased muscle tone and hyperreflexia in upper and lower extremities. CT myelography demonstrated severe extradural mass effect on the thecal sac at the craniocervical junction, order Modalert no prescription. MRI of the cervical spine revealed a T1 hypointense, heterogeneous, predominantly T2 hypointense extraxial mass, posterior to the odontod, compressing the thecal sac and spinal cord, buy Modalert without prescription. Modalert from canadian pharmacy, Also, there are findings consistent with diffuse idiopathic skeletal hyperostosis (DISH) throughout the cervical spine, online buy Modalert without a prescription. Buy Modalert no prescription, The patient underwent surgical trans-oral resection and posterior cervico-occipital fusion. Pathologic examination revealed degenerated fibrocartilage fragments, online buying Modalert hcl, Modalert price, without inflammatory changes or crystal deposition.

Differential diagnosis of degenerative pseudotumor of the atlanto-axial joint includes pannus associated with rheumatoid arthritis, order Modalert from mexican pharmacy, Order Modalert online overnight delivery no prescription, calcium pyrophospate deposition disease and gout tophi. Imaging diagnosis of degenerative pseudotumor is favored in our case in the absence of bone erosions and enhancement, Modalert samples. Buy Modalert from mexico, Also, the presence of changes of DISH is supporting the diagnosis, buy Modalert online cod. Order Modalert online c.o.d, DISH causes limitation of motion in the lower cervical spine with potential for microinstability at the level of atlantoaxial joint with repetitive tear and repair of the transverse ligament leading to pseudotumoral hypertrophy. This association was previously reported with a total of 10 cases in the literature.

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