Cervical Myelopathy(Myelopathy, Cervical)Pronounced: SIR-veh-cal My-eh-LOP-ah-thee
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Mary Cresse DefinitionCervical myelopathy is damage to the part of the spinal cord that is in the neck. The cervical spine begins at the base of the skull. It extends to the first seven vertebrae.
CausesCervical myelopathy is caused by:
Risk FactorsFactors that may increase your risk of cervical myelopathy include:
SymptomsSymptoms may include:
DiagnosisYou will be asked about your symptoms and medical history. A physical exam will be done. It will focus on any muscle weakness. A neurological exam may also be done to check your:
Imaging tests evaluate the spine and surrounding structures. These may include: Other tests may include:
TreatmentTalk with your doctor about the best treatment plan for you. This may involve:
SurgeryIf there is structural pressure on the spinal cord, you may need surgery right away. This is to attempt to avoid lasting injury. There are many different kinds of surgery and procedures to stabilize the neck, such as:
Nonsurgical ApproachesNonsurgical approaches may include:
MedicationMedications may help to relieve symptoms. Common medications include:
Other medications that affect the immune system are also sometimes used. PreventionIt is difficult to prevent this condition. Follow these guidelines to prevent accidents and strains:
RESOURCES:National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov United Spinal Association http://www.spinalcord.org CANADIAN RESOURCES:Canadian/American Spinal Research Organizations http://www.csro.com Health Canada https://www.canada.ca References:Cervical myelopathy. Johns Hopkins Medicine website. Available at:
https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/orthopaedic_disorders/CervicalMyelopathy_22,CervicalMyelopathy. Accessed November 8, 2017.
Lumbar spondylolysis. EBSCO DynaMed Plus website. Available at:
http://www.dynamed...
. Updated July 16, 2015. Accessed November 8, 2017.
Older adult falls. Centers for Disease Control and Prevention website. Available at: ...(Click grey area to select URL) Updated October 11, 2016. Accessed November 8, 2017. Pollard H, Hansen L, Hoskins W. Cervical stenosis in a professional rugby league football player: a case report.
Chiropr Osteopat. 2005;13:15. Young WB. Clinical diagnosis of myelopathy.
Semin Ultrasound CT MR. 1994;15(3):250-254 Young WF. Cervical spondylotic myelopathy: a common cause of spinal cord dysfunction in older persons. Am Fam Physician. 2000;62(5):1064-1070. Last reviewed November 2018 by
EBSCO Medical Review Board
Rimas Lukas, MD Last Updated: 12/20/2014 |
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