MedPix® Patient Chart - Case No: 13728 :: Imaging - Review Images

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History

Age: 34 :: Gender: man

Patient History

34 year old man, unrestrained driver, hit a tree and was thrown from his car. Unable to move legs when found by EMS.

Exam


Physical Exam and Laboratory

• Paraplegic
• Neck pain


Imaging

Imaging - Review Images for PT: 13728

Findings


Summary of Findings

• Prevertebral soft tissue hematoma
• Fracture through the left C4 lateral mass and laminar arch with unilateral perched C4-5 facets on the right.
• Herniated and disrupted disk C4-5.
• Torn intracapsular ligaments and ligament flavum.
• Spinal cord compression with edema.


Imaging

Imaging - Review Images for PT: 13728

Diffferential


Differential Diagnosis

• Cervical spine fracture


Imaging

Imaging - Review Images for PT: 13728

Diagnosis


Diagnosis

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Treatment


Treatment and Followup

Treatment not available without Diagnosis

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Topic

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Case Contributor and Editor
Topic Author(s): Courtney Tripp
Submitted by: Steven J Goldstein - Author Info
Case/Image Editor: James G. Smirniotopoulos, M.D. - Editor Info
Case Accepted: 2010-09-10 06:17:10-04 :: Revised: :: Submitted:
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