Cervical myelopathy related to spinal stenosis in systemic s
The present case has been reported in the journal Neurology. A 58-year-old woman presented with a 6-month history of progressive dysesthesias and weakness involving her hands as well as ambulatory dysfunction. She described a diffuse “tight band” of pain around her upper abdomen.

There was no bladder dysfunction. Her history revealed systemic scleroderma diagnosed in 2001 characterized by Raynaud phenomenon, esophageal dysmotility, pulmonary involvement resulting in pulmonary hypertension, and calcinosis cutis.

On physical examination, the patient was found to have Madonna facies, diffuse sclerodermatous skin changes, and extensive calcification of the pulp of the fingers with ulcerations.

Alignment of the cervical spine was normal on clinical inspection but motility was impaired around all axes. The Spurling sign was negative. Of interest, an indurated immobile mass lesion greater than 1 inch in diameter was palpable in the mid to lower third of the neck posteriorly.

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