{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T03:43:13Z","timestamp":1782963793009,"version":"3.54.5"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nOssification of the posterior longitudinal ligament (OPLL) is a progressive disorder that mostly involves the cervical spine. It is more prevalent in East Asian countries. Patients typically present with the gradual onset of myelopathy, while about 5% show rapid progression.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 51-year-old diabetic and hypertensive male presented with a left-sided hemiparesis following trivial trauma. The first diagnosis was a stroke, but the subsequent workup proved negative. Subsequently, the MRI and CT studies demonstrated significant cord compression due to OPLL extending from C2 to C7. There was also a heterogeneous hyperintense intramedullary cord signal indicative of edema\/myelomalacia in the retro- odontoid region. The CT also diagnosed C2\u2013C7 diffuse idiopathic skeletal hyperostosis.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nPatients with cervical myelopathy due to OPLL rarely present about 5% of the time with the acute onset of neurological deficit following minor trauma. Certainly, one must consider high cervical OPLL as responsible for hemiparesis in a patient whose brain MR has ruled out a stroke.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_247_2022","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T10:58:03Z","timestamp":1650625083000},"page":"158","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A case of cervical OPLL and DISH mimicking stroke"],"prefix":"10.25259","volume":"13","author":[{"given":"Rudra Mangesh","family":"Prabhu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tushar N.","family":"Rathod","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Seth G.S Medical College and K.E.M Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubhranshu S.","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Seth G.S Medical College and K.E.M Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhushan S.","family":"Hadole","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandan A.","family":"Marathe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Chaitanya Spine Clinic, Vasai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek K.","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2022,4,22]]},"reference":[{"key":"10.25259\/SNI_247_2022\/ref-1","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1093\/brain\/79.3.483","article-title":"Cervical myelopathy: A complication of cervical spondylosis","volume":"79","author":"Clarke","year":"1956","journal-title":"Brain"},{"key":"10.25259\/SNI_247_2022\/ref-2","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.ijsu.2016.01.038","article-title":"Anterior versus posterior approach for the treatment of cervical compressive myelopathy due to ossification of the posterior longitudinal ligament: A systematic review and meta-analysis","volume":"27","author":"Feng","year":"2016","journal-title":"Int J Surg"},{"key":"10.25259\/SNI_247_2022\/ref-3","doi-asserted-by":"crossref","first-page":"E990","DOI":"10.1097\/BRS.0b013e318188b300","article-title":"A new concept for making decisions regarding the surgical approach for cervical ossification of the posterior longitudinal ligament: the K-line","volume":"33","author":"Fujiyoshi","year":"2008","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_247_2022\/ref-4","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.3171\/2016.3.FOCUS1630","article-title":"Comparison of clinical outcomes in decompression and fusion versus decompression only in patients with ossification of the posterior longitudinal ligament: A meta-analysis","volume":"40","author":"Mehdi","year":"2016","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_247_2022\/ref-5","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1038\/sj.sc.3100758","article-title":"Pathology of the spinal cord damaged by ossification of the posterior longitudinal ligament associated with spinal cord injury","volume":"37","author":"Mizuno","year":"1999","journal-title":"Spinal Cord"},{"key":"10.25259\/SNI_247_2022\/ref-6","doi-asserted-by":"crossref","first-page":"E3","DOI":"10.3171\/2010.12.FOCUS10283","article-title":"Surgical management of cervical ossification of the posterior longitudinal ligament: Natural history and the role of surgical decompression and stabilization","volume":"30","author":"Sugrue","year":"2011","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_247_2022\/ref-7","doi-asserted-by":"crossref","first-page":"373","DOI":"10.11622\/smedj.2015107","article-title":"Clinics in diagnostic imaging (161). Cervical OPLL with cord compression","volume":"56","author":"Tan","year":"2015","journal-title":"Singapore Med J"},{"key":"10.25259\/SNI_247_2022\/ref-8","doi-asserted-by":"crossref","first-page":"16032","DOI":"10.1038\/scsandc.2016.32","article-title":"Spinal cord infarction at the level of ossification of the posterior longitudinal ligament","volume":"2","author":"Tanida","year":"2016","journal-title":"Spinal Cord Ser Cases"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-case-of-cervical-opll-and-dish-mimicking-stroke\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-cervical-opll-and-dish-mimicking-stroke\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T10:58:12Z","timestamp":1650625092000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-cervical-opll-and-dish-mimicking-stroke\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,22]]},"references-count":8,"alternative-id":["10.25259\/SNI_247_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_247_2022","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,22]]},"article-number":"158"}}