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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Cervical Spondylotic Myelopathy Presenting as Ischemic Stroke: A Case Report
Ogenetega J Madedor1, Scott Lee1, Robert Levey1
1Internal Medicine, The Brooklyn Hospital Center, Academic Affiliate of the Icahn School of Medicine, Clinical Affiliate of the Mount Sinai Hospital, Brooklyn, USA.
Abstract:
Cervical spondylotic myelopathy (CSM) is a condition seen in individuals greater than 50 years of age and is often asymptomatic. In patients who are symptomatic, the symptoms include cases where patients may present with paresis, neck stiffness, and gait abnormalities. We present a 63-year-old male who complained of a four-week-long "tingling and numbness" in his right upper and lower extremities. The sensation worsened over the next couple of days to the point where it affected his gait and led to a subsequent visit to the emergency room. Initial presentation prompted a stroke workup, but further investigation revealed findings suggestive of CSM. This case report highlights the symptomology of cervical spondylotic myelopathy in adults greater than 50 years of age and emphasizes the importance of recognizing the essential markers of this condition.
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