Marcello, Great case. Thank you for sharing with us. Here are my thoughts. 1. Regarding risk for future slippage. I believe the imaging modalities presented are all in an unloaded position. I would want upright plain radiographs with flexion and ...
I also believe that an adhesive arachnoiditis explains the image. The thickened cord represents adhesion of the intrathecal nerve roots into a solitary cord, maybe because of the myelogram. The remote history of back pain might be the consequence of ...
It looks like Chronic Adhesive Arachnoiditis. The findings explain the patient's pain. Probably the myelogram done with the oil-based contrast dye used in 1970 led to the arachnoiditis. ------------------------------ Ketan Jhunjhunwala University of ...