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American Journal of Roentgenology, Vol 105, 375-382, Copyright © 1969 by American Roentgen Ray Society

THE NEUROLOGIC COMPLICATIONS OF PAGET'S DISEASE IN THE CERVICAL SPINE

FRIEDA FELDMAN M.D.1 and WILLIAM B. SEAMAN M.D.2

1 Assistant Professor of Radiology
2 Professor of Radiology, and Chairman of the Department of Radiology

1. Eleven cases of involvement of the cervical spine by Paget's disease are reported.

2. Three patients had evidence of spinal cord compression confirmed by operative or autopsy findings while a fourth is experiencing symptoms probably resulting from subluxation and mild compression.

3. The roentgenographic appearance may closely simulate osteolytic or osteoblastic carcinoma and may be difficult to recognize as Paget's disease. Involvement of the neural arch, particularly when accompanied by involvement of the spinous process, points strongly toward Paget's disease, since it was present in 9 of the 11 cases.


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Copyright © 1969 by the American Roentgen Ray Society.