Cervical Myelopathy

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Clinical Features

  • Upper motor neurone pattern abnormalities in the lower limbs, and lower motor neurone abnormalities in the upper limbs
  • 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.
  • Paraesthesias and numbness.
  • Compression of pyramidal and extra pyramidal tracts causing spasticity, weakness, and abnormal muscle contraction.