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Cervical Spondylotic Myelopathy: What the Neurologist Should Know
Celmir de Oliveira Vilaça1, Marco Orsini2, Marco A Araujo Leite3
1National Institute of Traumatology and Orthopedics, Rio de Janeiro; Division of Neurology, Graduate program in Neurology/Neuroscience, USS, Vassouras, RJ.
Neurology International
|December 21, 2016
Summary
Cervical spondylotic myelopathy, a common cause of disability in older adults, often presents subtly. Early recognition of gait or hand motor changes is crucial for timely diagnosis and management.
Area of Science:
- Neurology
- Geriatrics
- Orthopedics
Background:
- Cervical spondylotic myelopathy (CSM) is a prevalent neurological disorder causing significant disability in the elderly population.
- Many patients with CSM remain asymptomatic, delaying diagnosis until symptoms manifest.
- The condition is frequently misdiagnosed, often confused with supratentorial lesions.
Conclusions:
- Early suspicion and accurate diagnosis of CSM are vital for preventing further disability.
- A thorough understanding of CSM's pathophysiology and natural history aids in effective management.
- Integrated clinical assessment and appropriate treatment are essential for improving patient outcomes.
