Cervical spondylotic myelopathy: what the neurologist should know
Author(s) -
Celmir de Oliveira Vilaça,
Marco Orsini,
Marco Antônio Araújo Leite,
Marcos R. G. de Freitas,
Eduardo Davidovich,
Rossano Fiorelli,
Stênio Karlos Alvim Fiorelli,
Camila Fiorelli,
Acary Bulle Oliveira,
Bruno Lima Pessôa
Publication year - 2016
Publication title -
neurology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 16
ISSN - 2035-8377
DOI - 10.4081/ni.2016.6330
Subject(s) - medicine , natural history , myelopathy , asymptomatic , presentation (obstetrics) , disease , suspect , progressive muscular atrophy , differential diagnosis , pediatrics , physical medicine and rehabilitation , surgery , spinal cord , psychiatry , pathology , amyotrophic lateral sclerosis , political science , law
Cervical spondylotic myelopathy is a wellknown cause of disability among older people. A significant amount of these patients is asymptomatic. Once the symptoms start, the worsening may follow a progressive manner. We should suspect of spondylotic myelopathy in any individual over 55 years presenting progressive changes in gait or losing fine motor control of the upper limbs. Despite its frequent prevalence, this condition is still neglected and many times confused with other supratentorial lesions regarding diagnostic. Here we address some of most important aspects of this disease, calling attention to pathophysiology, the natural history, presentation, differential diagnosis, clinical assessment, and treatment
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