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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...

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Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
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.
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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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