Cervical Myelopathy: Difference between revisions
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== Clinical Presentation == | == Clinical Presentation == | ||
Cervical spondylotic myelopathy can cause a variety of signs and symptoms. The onset is insidious, which typically becomes apparent in persons aged 50-60 years. About half of patients with cervical myelopathy have pain in their neck, scapular area or arms; most have symptoms of arm and leg dysfunction. Arm symptoms may include weakness, numbness (nonspecific/dermathomal) or clumsiness in the hands. Leg symptoms may include weakness, difficulty walking, and/or frequent falls. In later cases, bladder and bowel incontinence can occur. The first signs are often increased knee and ankle reflexes. A Myelopathy is an upper motor neuron lesion and the patients may present with spasticity, hyperreflexia, clonus, Babinski and Hoffman's sign. <br> | |||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
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== Differential Diagnosis<br> == | == Differential Diagnosis<br> == | ||
Special Tests: (+) Clonus, (+) Hoffman's Sign<br> | |||
MRI may be useful to diagnose myelopathy. Electromyography (EMG) and nerve conduction velocity (NCV) may help rule out peripheral nerve radiculopathy. | |||
== Key Evidence == | == Key Evidence == | ||
Revision as of 13:27, 4 February 2010
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Clinically Relevant Anatomy
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Mechanism of Injury / Pathological Process
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Clinical Presentation[edit | edit source]
Cervical spondylotic myelopathy can cause a variety of signs and symptoms. The onset is insidious, which typically becomes apparent in persons aged 50-60 years. About half of patients with cervical myelopathy have pain in their neck, scapular area or arms; most have symptoms of arm and leg dysfunction. Arm symptoms may include weakness, numbness (nonspecific/dermathomal) or clumsiness in the hands. Leg symptoms may include weakness, difficulty walking, and/or frequent falls. In later cases, bladder and bowel incontinence can occur. The first signs are often increased knee and ankle reflexes. A Myelopathy is an upper motor neuron lesion and the patients may present with spasticity, hyperreflexia, clonus, Babinski and Hoffman's sign.
Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Management / Interventions
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Differential Diagnosis
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Special Tests: (+) Clonus, (+) Hoffman's Sign
MRI may be useful to diagnose myelopathy. Electromyography (EMG) and nerve conduction velocity (NCV) may help rule out peripheral nerve radiculopathy.
Key Evidence[edit | edit source]
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Resources
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Case Studies[edit | edit source]
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