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American Journal of Roentgenology, Vol 107, 505-510, Copyright © 1969 by American Roentgen Ray Society

THE ABSENT CERVICAL PEDICLE SYNDROME: A CASE IN CHILDHOOD

ALAN E. OESTREICH M.D.1 and LIONEL W. YOUNG M.D.1

1 From the Division of Diagnostic Radiology, Department of Radiology, University of Rochester Medical Center, Rochester, New York

An example of absent cervical pedicle syndrome is reported in a 13 year old girl who presented with unilateral neck, shoulder and arm pain, and difficulty in writing.

Roentgenographic and myelographic findings of absent cervical pedicle on a non-tumorogenic congenital basis are demonstrated.

In the 11 previously reported adults, at least 7 had symptoms of pain or other neurologic complaint. On the oblique cervical roentgenogram, at the level of the absent pedicle, there was a double vertebral foramen, abnormally small transverse process and displaced lateral articular mass. The last finding is important in the differential diagnosis, particularly in regard to a dumbbell neurogenic tumor in which case the articulating mass is not so displaced.


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Copyright © 1969 by the American Roentgen Ray Society.