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Myelopathy: a report of two cases
Sanjay N Patel1, Norman W Kettner, Corey A Osbourne
1Department of Radiology, Logan College of Chiropractic, Chesterfield, Mo 63006-1065, USA. sanjay.patel@logan.edu
Journal of Manipulative and Physiological Therapeutics
|September 27, 2005
Summary
This study highlights two cervical myelopathy cases in a chiropractic setting, emphasizing the need for practitioners to recognize diverse etiologies and imaging findings for effective patient management.
Area of Science:
- Neurology
- Diagnostic Imaging
- Chiropractic
Background:
- Cervical myelopathy presents diagnostic challenges, particularly when atypical symptoms mask underlying pathology.
- Early recognition of diverse etiologies is crucial for appropriate management.
Observation:
- Two cases of cervical myelopathy with distinct causes (acute transverse myelitis and posttraumatic syringomyelia) were observed in a chiropractic practice.
- Neither patient initially presented with classic myelopathic signs, underscoring the importance of thorough evaluation.
Findings:
- Diagnostic imaging revealed findings consistent with cervical myelopathy in both cases, despite varied clinical presentations.
- One patient with posttraumatic syringomyelia received chiropractic spinal manipulative therapy combined with medical management.
Implications:
- Chiropractic practitioners must be vigilant for cervical myelopathy, considering its varied presentations and etiologies.
- Awareness of diagnostic imaging findings and treatment modalities is essential for optimizing patient outcomes.
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