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Cervical Myelopathy: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Gait dysfunction and sensory ataxia due to a combination of proprioceptive defects, hypertonicity, and weakness. | |||
*Gait dysfunction due to a combination of proprioceptive defects, hypertonicity, and weakness. | |||
*Deep sensation defects in severe disease involving proprioception and vibration sense, due to posterior column compression. | *Deep sensation defects in severe disease involving proprioception and vibration sense, due to posterior column compression. | ||
*Paraesthesias and numbness. | *Paraesthesias and numbness. | ||
*Compression of pyramidal and extra pyramidal tracts causing spasticity, weakness, and abnormal muscle contraction. | *Compression of pyramidal and extra pyramidal tracts causing spasticity, weakness, and abnormal muscle contraction. | ||
*Lower limb stiffness and dragging feet | |||
*Upper limb fine motor control deficits | |||
*Upper limb symptoms may be more prominent intermittently due to central cord compromise | |||
*Urinary incontinence in long standing disease | |||
*Neck pain may be a feature but is not normally prominent, and does not tend to occur early unlike cervical radiculopathy | |||
* Upper motor neurone pattern abnormalities in the lower limbs, and lower motor neurone abnormalities in the upper limbs | |||
*Special Tests | |||
**Lhermittes sign (electric shock down torso on neck flexion) | |||
**Foot talking test | |||
**Hand clenching test | |||
**With back against the wall, unable to extend head back to touch the wall. | |||
**Hoffman test, facilitated by cervical extension | |||
[[Category:Cervical Spine]] | [[Category:Cervical Spine]] |
Revision as of 22:01, 30 June 2020
This article is a stub.
Clinical Features
- Gait dysfunction and sensory ataxia due to a combination of proprioceptive defects, hypertonicity, and weakness.
- Deep sensation defects in severe disease involving proprioception and vibration sense, due to posterior column compression.
- Paraesthesias and numbness.
- Compression of pyramidal and extra pyramidal tracts causing spasticity, weakness, and abnormal muscle contraction.
- Lower limb stiffness and dragging feet
- Upper limb fine motor control deficits
- Upper limb symptoms may be more prominent intermittently due to central cord compromise
- Urinary incontinence in long standing disease
- Neck pain may be a feature but is not normally prominent, and does not tend to occur early unlike cervical radiculopathy
- Upper motor neurone pattern abnormalities in the lower limbs, and lower motor neurone abnormalities in the upper limbs
- Special Tests
- Lhermittes sign (electric shock down torso on neck flexion)
- Foot talking test
- Hand clenching test
- With back against the wall, unable to extend head back to touch the wall.
- Hoffman test, facilitated by cervical extension