Publications by authors named "Ian Cote"
C1-2 Stenosis Caused by Posterior Osteophytes: An Unusual Cause of Cord Compression.
World Neurosurg
February 2025
Cervical spinal stenosis most commonly occurs at the subaxial spine. C1-C2 stenosis is relatively unusual but can be present in certain congenital or syndromic conditions such as rheumatoid arthritis. In this manuscript, we highlight the case of a 42-year-old lady who presented with neck pain and signs of high cervical myelopathy.
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- Periodontoid pannus formation is typically caused by rheumatoid arthritis and leads to neural compression in the spinal cord, particularly in the retro-odontoid space.
- A case report describes a patient with progressive high cervical myelopathy who was found to have both a retro-odontoid pannus and a posterior mass at C1-C2 leading to severe spinal cord compression.
- The patient underwent successful treatment through a C1-C2 laminectomy and occipitocervical fusion, marking the first reported instance of circumferential pannus at C1-C2 causing such neural compression.
Article Synopsis
- * MRI revealed severe spinal canal compression at the L2-3 level, leading to a laminectomy where a fibrous mass was found and later identified as atypical by cultures.
- * Despite surgery and antibiotics, the patient faced recurrent issues, highlighting the need to recognize atypical causes of epidural collections in high-risk patients and the importance of thorough surgical evaluation.
Background: Indeterminate dendritic cell tumor (IDCT) is an extremely rare hematologic disorder with poorly understood pathogenesis. Occasionally encountered by hematologists, unusual presentations of IDCT have not been reported in the spine literature.
Methods: We report a 51-year-old man who presented with a 3-month history of progressively worsening axial thoracic back pain radiating to his sides.