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F/48

C.C.> spastic gait

BHx> #1. 6YA both L/E radiating pain
#2. 6MA부터 spastic gait, both L/E paresthesia & tingling sense

SLR 90/90 FST -/- Int. claudication (-)

Neck ROM : limited
- flexion : 40
- extension 45
- lat. rotaioin 45
Hoffman reflex +/+
Inverted radial reflex +/+
Grip & release test intact/intact
Finger escape sign -/-
Sensory C1-T5 100/100 T6 이하 50/50
Motor of U/E 5/5

Motor of L/E
- Hip flexor, abductor, adductor 5/5
- Quad 5/5 Hamstring 5-/4
- TA 5/5- EPH 5/5 FHL 5/5

DTR Biceps, Triceps, BR, KJ, AJ +++/+++
A/C +/+ Babinski ±/±

MRI>
Spinal canal stenosis, C-spine through upper T-spine.
Ligamentum flavum thickening with adjacent compressive myelopathy,
T3 level.
Posterior ligamentum thickening of cervical spine.

Imp> OYL, T3 level

Op> Posterior decompression by partial laminectomy