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British Journal of Radiology (2004) 77, 688-690
© 2004 British Institute of Radiology
doi: 10.1259/bjr/16836733

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Residual or recurrent head and neck cancer presenting with nerve root compression affecting the upper limbs

R L Mendes, FRCR1, C M Nutting, FRCR1,2 and K J Harrington, FRCR1,2

1 Head and Neck Unit, Royal Marsden Hospital, 203 Fulham Road, London SW3 6JJ and 2 Institute of Cancer Research, Fulham Road, London, UK



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Figure 1. Lateral cervical radiograph demonstrating pathological fracture of the C4 vertebra in Case 1.

 


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Figure 2. Transverse CT section through the C4 vertebral level in Case 1. There is soft tissue infiltration by a pre-vertebral mass that extends to involve the left intervertebral foramina and the spinal canal.

 


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Figure 3. Sagittal MRI demonstrating vertebral body involvement centred at C5 with direct posterior extension compressing the spinal cord and bilateral nerve roots.

 





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