{"id":"933f1c30-b206-4aa6-94dc-c11286aa487e","slug":"a-case-of-cervical-opll-and-dish-mimicking-stroke","title":"A case of cervical OPLL and DISH mimicking stroke","authors":["Rudra Mangesh Prabhu","Tushar N. Rathod","Shubhranshu S. Mohanty","Bhushan S. Hadole","Nandan A. Marathe","Abhishek K. Rai"],"abstract":"Background: Ossification of the posterior longitudinal ligament (OPLL) is a progressive disorder that mostly involves the cervical spine. It is more prevalent in East Asian countries. Patients typically present with the gradual onset of myelopathy, while about 5% show rapid progression. Case Description: A 51-year-old diabetic and hypertensive male presented with a left-sided hemiparesis following trivial trauma. The first diagnosis was a stroke, but the subsequent workup proved negative. Subsequently, the MRI and CT studies demonstrated significant cord compression due to OPLL extending from C2 to C7. There was also a heterogeneous hyperintense intramedullary cord signal indicative of edema/myelomalacia in the retro- odontoid region. The CT also diagnosed C2–C7 diffuse idiopathic skeletal hyperostosis. Conclusion: Patients with cervical myelopathy due to OPLL rarely present about 5% of the time with the acute onset of neurological deficit following minor trauma. Certainly, one must consider high cervical OPLL as responsible for hemiparesis in a patient whose brain MR has ruled out a stroke.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/933f1c30-b206-4aa6-94dc-c11286aa487e/featured/hero-1781561418302.png","publishDate":"2022-04-22T00:00:00.000Z","doi":"10.25259/SNI_247_2022","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/04/11557/SNI-13-158.pdf"}