Radiological "Snake Eyes" Sign Due to Anterior Epidural Spinal Cyst Mimicking Hirayama Disease (P4.132)

Conclusions:This case demonstrates that anterior spinal cyst may manifest as atypical motor neuron disease, such as Hirayama or amyotrophic lateral sclerosis. Also, it enforces the importance of obtaining radiographic images to asses in evaluating the spine when electromyography and physical exam is inconclusive. To our knowledge, "Snake Eyes" sign has not been reported in anterior epidural spinal cyst. In addition, including anterior cervical spinal cyst in the differential diagnosis of progressive upper extremity weakness and atrophy is important, as this may lead to definitive, attenuating, and possibly curative treatment.Disclosure: Dr. hamdallah MD has nothing to disclose. Dr. Li MD has nothing to disclose. Dr. Twydell has received personal compensation for activities with Allergen and UpToDate.
Source: Neurology - Category: Neurology Authors: Tags: Neuromuscular and Clinical Neurophysiology (EMG): Motor Neuron Disease II Source Type: research