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Degenerative Cervical Myelopathy: A Practical Approach to Diagnosis
STUDY DESIGN: Narrative Review. OBJECTIVES: The objective of this review is to provide a stepwise approach to the assessment of patients with potential symptoms of degenerative cervical myelopathy (DCM). METHODS: N/A RESULTS: DCM is an overarching term used to describe progressive compression of the...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609530/ https://www.ncbi.nlm.nih.gov/pubmed/35043715 http://dx.doi.org/10.1177/21925682211072847 |
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author | Tetreault, Lindsay Kalsi-Ryan, Sukhvinder Benjamin Davies, Nanna-Lohkamp, Laura Garwood, Philip Martin, Allan R. Wilson, Jefferson R. Harrop, James S. Guest, James D. Kwon, Brian K. Milligan, James Arizala, Alberto Martinez Kotter, Mark R. Fehlings, Michael G. |
author_facet | Tetreault, Lindsay Kalsi-Ryan, Sukhvinder Benjamin Davies, Nanna-Lohkamp, Laura Garwood, Philip Martin, Allan R. Wilson, Jefferson R. Harrop, James S. Guest, James D. Kwon, Brian K. Milligan, James Arizala, Alberto Martinez Kotter, Mark R. Fehlings, Michael G. |
author_sort | Tetreault, Lindsay |
collection | PubMed |
description | STUDY DESIGN: Narrative Review. OBJECTIVES: The objective of this review is to provide a stepwise approach to the assessment of patients with potential symptoms of degenerative cervical myelopathy (DCM). METHODS: N/A RESULTS: DCM is an overarching term used to describe progressive compression of the cervical spinal cord by age-related changes to the spinal axis. These alterations to normal anatomy narrow the spinal canal, reduce the space available for the spinal cord, and may ultimately compress the ascending and descending neural tracts. Patients with DCM present with a wide range of symptoms that can significantly impact quality of life, including bilateral hand numbness and paresthesia, gait impairment, motor weakness of the upper and lower extremities, and bladder and bowel dysfunction. Unfortunately, DCM is often misdiagnosed, resulting in delayed assessment and management by the appropriate specialist. The proper evaluation of a patient with suspected DCM includes obtaining a detailed patient history, conducting a comprehensive neurological examination, and ordering appropriate tests to rule in or out other diagnoses. CONCLUSION: This review summarizes a stepwise approach to the diagnosis of patients with DCM. |
format | Online Article Text |
id | pubmed-9609530 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-96095302022-10-28 Degenerative Cervical Myelopathy: A Practical Approach to Diagnosis Tetreault, Lindsay Kalsi-Ryan, Sukhvinder Benjamin Davies, Nanna-Lohkamp, Laura Garwood, Philip Martin, Allan R. Wilson, Jefferson R. Harrop, James S. Guest, James D. Kwon, Brian K. Milligan, James Arizala, Alberto Martinez Kotter, Mark R. Fehlings, Michael G. Global Spine J Review Articles STUDY DESIGN: Narrative Review. OBJECTIVES: The objective of this review is to provide a stepwise approach to the assessment of patients with potential symptoms of degenerative cervical myelopathy (DCM). METHODS: N/A RESULTS: DCM is an overarching term used to describe progressive compression of the cervical spinal cord by age-related changes to the spinal axis. These alterations to normal anatomy narrow the spinal canal, reduce the space available for the spinal cord, and may ultimately compress the ascending and descending neural tracts. Patients with DCM present with a wide range of symptoms that can significantly impact quality of life, including bilateral hand numbness and paresthesia, gait impairment, motor weakness of the upper and lower extremities, and bladder and bowel dysfunction. Unfortunately, DCM is often misdiagnosed, resulting in delayed assessment and management by the appropriate specialist. The proper evaluation of a patient with suspected DCM includes obtaining a detailed patient history, conducting a comprehensive neurological examination, and ordering appropriate tests to rule in or out other diagnoses. CONCLUSION: This review summarizes a stepwise approach to the diagnosis of patients with DCM. SAGE Publications 2022-01-19 2022-10 /pmc/articles/PMC9609530/ /pubmed/35043715 http://dx.doi.org/10.1177/21925682211072847 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Review Articles Tetreault, Lindsay Kalsi-Ryan, Sukhvinder Benjamin Davies, Nanna-Lohkamp, Laura Garwood, Philip Martin, Allan R. Wilson, Jefferson R. Harrop, James S. Guest, James D. Kwon, Brian K. Milligan, James Arizala, Alberto Martinez Kotter, Mark R. Fehlings, Michael G. Degenerative Cervical Myelopathy: A Practical Approach to Diagnosis |
title | Degenerative Cervical Myelopathy: A Practical Approach to
Diagnosis |
title_full | Degenerative Cervical Myelopathy: A Practical Approach to
Diagnosis |
title_fullStr | Degenerative Cervical Myelopathy: A Practical Approach to
Diagnosis |
title_full_unstemmed | Degenerative Cervical Myelopathy: A Practical Approach to
Diagnosis |
title_short | Degenerative Cervical Myelopathy: A Practical Approach to
Diagnosis |
title_sort | degenerative cervical myelopathy: a practical approach to
diagnosis |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9609530/ https://www.ncbi.nlm.nih.gov/pubmed/35043715 http://dx.doi.org/10.1177/21925682211072847 |
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