Cates J R, Soriano M M
J Manipulative Physiol Ther. 1995 Sep;18(7):471-5.
To present the clinical and neurological features of a patient suffering from cervical spondylotic myelopathy.
Cervical spondylotic myelopathy (CSM) is a condition in which the vascular and neural structures are compressed by bony spurring and soft tissue hypertrophy, causing ischemic damage to the spinal cord. Although cervical spondylotic myelopathy is the most common cord disorder in older adults, the diagnosis is often missed because the initial symptoms are subtle and the condition usually presents with associated conditions such as nerve root involvement.
The patient was referred to a neurosurgeon for a posterior decompressive laminectomy. The advancing symptoms of CSM were apparently halted by the surgery in this case, until complication from a fall resulted in quadriplegia.
Appropriate testing can aid differential diagnosis of the condition and expedite appropriate management of the condition. Treatment may include surgical cervical decompression of the involved area. An untreated progressive spondylotic myelopathy may cause permanent neurological damage to the spinal cord. Attention should be paid to the clinical signs and treatment of this underdiagnosed condition.
介绍一例脊髓型颈椎病患者的临床及神经学特征。
脊髓型颈椎病（CSM）是一种血管和神经结构因骨质增生和软组织肥大而受压，导致脊髓缺血性损伤的疾病。尽管脊髓型颈椎病是老年人中最常见的脊髓疾病，但由于初始症状不明显且该疾病通常伴有神经根受累等相关病症，诊断常常被漏诊。
该患者被转介给神经外科医生进行后路减压椎板切除术。在此病例中，手术显然使脊髓型颈椎病的进展性症状得到了缓解，直到一次跌倒引发并发症导致四肢瘫痪。
适当的检查有助于该疾病的鉴别诊断并加快对该疾病的合理治疗。治疗可能包括对受累区域进行颈椎手术减压。未经治疗的进行性脊髓型颈椎病可能会对脊髓造成永久性神经损伤。应关注这种诊断不足疾病的临床体征和治疗。
