Cervical spondylotic myelopathy: what the neurologist should know

  • Celmir de Oliveira Vilaça National Institute of Traumatology and Orthopedics, Rio de Janeiro; Division of Neurology, Graduate program in Neurology/Neuroscience, Universidade Federal Fluminense, Brazil.
  • Marco Orsini Division of Neurology, Graduate program in Neurology/Neuroscience, Universidade Federal Fluminense; Masters Program in Urgência e Emergencia Médica, USS, Vassouras, RJ, Brazil.
  • Marco A. Araujo Leite | marcoantonio.araujoleite@gmail.com Division of Neurology, Graduate program in Neurology/Neuroscience, Universidade Federal Fluminense, Brazil.
  • Marcos R.G. de Freitas Division of Neurology, Graduate program in Neurology/Neuroscience, Universidade Federal Fluminense, Brazil.
  • Eduardo Davidovich Division of Neurology, Graduate program in Neurology/Neuroscience, Universidade Federal Fluminense, Brazil.
  • Rossano Fiorelli Masters Program in Urgência e Emergencia Médica, USS, Vassouras, RJ; Medicine School, UNIRIO, RJ, Brazil.
  • Stenio Fiorelli Medicine School, UNIRIO, RJ, Brazil.
  • Camila Fiorelli Medicine School, UNIRIO, RJ, Brazil.
  • Acary Bulle Oliveira Neurology Division, Universidade Federal de São Paulo – UNIFESP, Brazil.
  • Bruno Lima Pessoa Division of Neurosurgery, Universidade Federal Fluminense, Niterói, RJ, Brazil.

Abstract

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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Published
2016-11-23
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Issue
Section
Reviews
Keywords:
Spondylosis, Cervical spondylotic myelopathy, Spastic paraparesis
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How to Cite
Vilaça, C. de O., Orsini, M., Araujo Leite, M. A., de Freitas, M. R., Davidovich, E., Fiorelli, R., Fiorelli, S., Fiorelli, C., Oliveira, A. B., & Pessoa, B. L. (2016). Cervical spondylotic myelopathy: what the neurologist should know. Neurology International, 8(4). https://doi.org/10.4081/ni.2016.6330

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