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Hand wasting due to mid-cervical spinal cord compression.

A E Goodridge1, T E Feasby, G C Ebers

  • 1Department of Clinical Neurological Sciences, University Hospital, London, Ontario, Canada.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|August 1, 1987
PubMed
Summary

Mid-cervical spinal cord compression from spondylosis or meningioma caused hand wasting. This may result from distal spinal cord ischemia due to venous stasis.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Spinal Cord Medicine

Background:

  • Cervical spondylosis and meningiomas are common causes of spinal cord compression.
  • Hand wasting and weakness can be debilitating symptoms requiring accurate diagnosis.

Observation:

  • Three patients presented with hand wasting and weakness.
  • The underlying cause was mid-cervical spinal cord compression.
  • Two cases were attributed to cervical spondylosis, and one to a meningioma.

Findings:

  • Mid-cervical spinal cord compression can lead to distal hand symptoms.
  • The mechanism may involve spinal cord ischemia distal to the compression.
  • Venous stasis secondary to compression is a potential contributing factor.

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Implications:

  • Recognizing this presentation is crucial for timely diagnosis and intervention.
  • Understanding the pathophysiology can guide treatment strategies for spinal cord compression.
  • This highlights the importance of evaluating the entire cervical spine in cases of unexplained hand weakness.