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Cervical Spine Involvement in Morphea Patients With Subclinical Neurologic Signs.

Michael Critelli1, Taylor Davis1, Hayden Flume1

  • 1Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, USA.

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Summary
This summary is machine-generated.

Morphea, a skin condition, can affect the cervical spine, causing potential neurologic issues. Early detection through imaging and exams is crucial for managing this rare disease.

Keywords:
cervical spine deformitylinear sclerodermamorpheaneurologic signsorthopedic spine surgeryradiologic findings

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Area of Science:

  • Dermatology
  • Neurology
  • Radiology

Background:

  • Morphea is a rare fibrosing skin disease, distinct from systemic scleroderma, that can involve deeper tissues.
  • While generally favorable, morphea can lead to severe systemic and neurologic manifestations, particularly when affecting the cervical spine.
  • Cervical spine involvement in morphea is not well-characterized, necessitating further investigation.

Purpose of the Study:

  • To examine the relationship between morphea and cervical spine involvement.
  • To identify relevant signs, symptoms, and imaging findings in patients with morphea and cervical spine involvement.

Main Methods:

  • A narrative review of English-language articles published in the last 10 years.
  • Searches conducted on OpenEvidence, PubMed, and Google Scholar using MeSH terms and keywords related to morphea and cervical spine.
  • Independent reviewers performed citation searches and assessed study relevance and information.

Main Results:

  • Nearly half of head-and-neck morphea patients showed abnormal cervical spine MRI findings.
  • Incidental findings like white matter lesions or vascular malformations were noted, sometimes preceding clinical symptoms.
  • Cervical tissue hardening can obstruct neurovasculature, leading to varied neurologic symptoms, from subtle numbness to more severe manifestations.

Conclusions:

  • Morphea can extend beyond the skin to affect cervical spine structures and neurovasculature.
  • Early diagnosis through regular follow-ups, imaging, and clinical examination is vital for effective disease management.
  • While often self-limiting, complications like contractures may require surgical intervention.