CASE 38: 52 y/o female patient with neck pain

This case was provided by Tecniscan Diagnostic Center. Let me warn you that we have no final diagnosis but the differentials are very useful to decide an invasive or conservatory approach. Patient referred chronic progressive neck pain associated with headache. She was treated with pain killers with little or no effect whatsoever. She had no other symptoms, no previous history of trauma, infection, medication or disease. Brain CT scan (not shown) was normal so the next step was the evaluation of a cervical MR. Here are the images:

 

With these findings, we conducted a CT, here are the images:

 

 

 

 

 

 Findings?...differentials?...later on the conclusion.