Degenerative Cervical Myelopathy: A Practical Approach to Diagnosis
| Autor: | Lindsay Tetreault, Sukhvinder Kalsi-Ryan, null Benjamin Davies, Laura Nanna-Lohkamp, Philip Garwood, Allan R. Martin, Jefferson R. Wilson, James S. Harrop, James D. Guest, Brian K. Kwon, James Milligan, Alberto Martinez Arizala, Mark R. Kotter, Michael G. Fehlings |
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| Rok vydání: | 2022 |
| Předmět: |
cervical spondylotic myelopathy
Physical Injury - Accidents and Adverse Effects diagnosis Neurosciences Neurodegenerative 7.3 Management and decision making ossification of the posterior longitudinal ligament Clinical Research degenerative cervical myelopathy Neurological Orthopedics and Sports Medicine Surgery Management of diseases and conditions Neurology (clinical) Spinal Cord Injury Traumatic Head and Spine Injury |
| Zdroj: | Global spine journal, vol 12, iss 8 |
| ISSN: | 2192-5690 2192-5682 |
| DOI: | 10.1177/21925682211072847 |
| Popis: | Study Design Narrative Review. Objectives The objective of this review is to provide a stepwise approach to the assessment of patients with potential symptoms of degenerative cervical myelopathy (DCM). Methods N/A Results DCM is an overarching term used to describe progressive compression of the cervical spinal cord by age-related changes to the spinal axis. These alterations to normal anatomy narrow the spinal canal, reduce the space available for the spinal cord, and may ultimately compress the ascending and descending neural tracts. Patients with DCM present with a wide range of symptoms that can significantly impact quality of life, including bilateral hand numbness and paresthesia, gait impairment, motor weakness of the upper and lower extremities, and bladder and bowel dysfunction. Unfortunately, DCM is often misdiagnosed, resulting in delayed assessment and management by the appropriate specialist. The proper evaluation of a patient with suspected DCM includes obtaining a detailed patient history, conducting a comprehensive neurological examination, and ordering appropriate tests to rule in or out other diagnoses. Conclusion This review summarizes a stepwise approach to the diagnosis of patients with DCM. |
| Databáze: | OpenAIRE |
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