Sagittal (A) and axial (B) MRI T2 weighted images showing the focal lesion (arrows) compressing the spinal cord. (C) Light photomicrograph of CPPD crystals in excised ligamentum flavum. Cervical cord compression in elderly patients is usually degenerative in origin. We report a case of cervical cord compression due to focal deposition of calcium pyrophosphate dihydrate (CPPD) crystals in the ligamentum flavum. A 76 year old woman presented with a 3 week history of severe neck pain associated with intermittent L’Hermitt’s type electric shock sensations down both arms. Over this period she noticed clumsiness of her hands and became unsteady on her feet. For several years she had complained of mild neck pain and stiffness. She walked with a broad …
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Caird et al. (1999) studied this question.
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