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Review

Cervical Spondylotic Myelopathy: What the Neurologist should Know

by
Celmir de Oliveira Vilaça
1,2,
Marco Orsini
2,3,
Marco A. Araujo Leite
2,*,
Marcos R.G. de Freitas
2,
Eduardo Davidovich
2,
Rossano Fiorelli
3,4,
Stenio Fiorelli
4,
Camila Fiorelli
4,
Acary Bulle Oliveira
5 and
Bruno Lima Pessoa
6
1
National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil
2
Division of Neurology, Graduate program in Neurology/Neuroscience, Universidade Federal Fluminense, Brazil
3
Masters Program in Urgência e Emergencia Médica, USS, Vassouras, RJ, Brazil
4
Medicine School, UNIRIO, RJ, Brazil
5
Neurology Division, Universidade Federal de São Paulo – UNIFESP, Brazil
6
Division of Neurosurgery, Universidade Federal Fluminense, Niterói, RJ, Brazil
*
Author to whom correspondence should be addressed.
Neurol. Int. 2016, 8(4), 6330; https://doi.org/10.4081/ni.2016.6330
Submission received: 26 November 2015 / Revised: 26 November 2015 / Accepted: 6 June 2016 / Published: 23 November 2016

Abstract

Cervical spondylotic myelopathy is a wellknown cause of disability among older people. A significant amount of these patients is asymptomatic. Once the symptoms start, the worsening may follow a progressive manner. We should suspect of spondylotic myelopathy in any individual over 55 years presenting progressive changes in gait or losing fine motor control of the upper limbs. Despite its frequent prevalence, this condition is still neglected and many times confused with other supratentorial lesions regarding diagnostic. Here we address some of most important aspects of this disease, calling attention to pathophysiology, the natural history, presentation, differential diagnosis, clinical assessment, and treatment.
Keywords: Spondylosis; Cervical spondylotic myelopathy; Spastic paraparesis Spondylosis; Cervical spondylotic myelopathy; Spastic paraparesis

Share and Cite

MDPI and ACS Style

Vilaça, C.d.O.; Orsini, M.; Araujo Leite, M.A.; de Freitas, M.R.G.; Davidovich, E.; Fiorelli, R.; Fiorelli, S.; Fiorelli, C.; Oliveira, A.B.; Pessoa, B.L. Cervical Spondylotic Myelopathy: What the Neurologist should Know. Neurol. Int. 2016, 8, 6330. https://doi.org/10.4081/ni.2016.6330

AMA Style

Vilaça CdO, Orsini M, Araujo Leite MA, de Freitas MRG, Davidovich E, Fiorelli R, Fiorelli S, Fiorelli C, Oliveira AB, Pessoa BL. Cervical Spondylotic Myelopathy: What the Neurologist should Know. Neurology International. 2016; 8(4):6330. https://doi.org/10.4081/ni.2016.6330

Chicago/Turabian Style

Vilaça, Celmir de Oliveira, Marco Orsini, Marco A. Araujo Leite, Marcos R.G. de Freitas, Eduardo Davidovich, Rossano Fiorelli, Stenio Fiorelli, Camila Fiorelli, Acary Bulle Oliveira, and Bruno Lima Pessoa. 2016. "Cervical Spondylotic Myelopathy: What the Neurologist should Know" Neurology International 8, no. 4: 6330. https://doi.org/10.4081/ni.2016.6330

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