Video presentation of syringo-subarachnoid shunt placement and lysis of spinal cord adhesions in a patient with 14+ years history of disseminated coccidioidomycosis who presented with dense quardriparesis as the result of cervical spinal cord compression. Case presentation by Dr. Farhad Limonadi MD, director of neurosurgery at Eisenhower Medical Center. Edited by Camus Yu