Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Neurol Clin. 2013 Feb;31(1):287-305. doi: 10.1016/j.ncl.2012.09.003.
The differential of cervical spondylotic myelopathy (CSM) is broad and includes multiple conditions that can cause and mimic myelopathy. In adults older than 55 years of age, CSM is the most common cause of myelopathy. This article summarizes the pathophysiology, clinical presentation, differential diagnosis, diagnostic evaluation, and natural history of CSM. Available treatment options and their complications are reviewed.
脊髓型颈椎病(CSM)的鉴别诊断范围很广,包括多种可能导致并模拟脊髓病的疾病。在 55 岁以上的成年人中,CSM 是最常见的脊髓病病因。本文总结了 CSM 的病理生理学、临床表现、鉴别诊断、诊断评估和自然病史。还回顾了可用的治疗选择及其并发症。