UMEM Educational Pearls

Category: Neurology

Title: Cervical Spine Disease

Keywords: MRI, neuro exam, bladder, gait (PubMed Search)

Posted: 4/24/2019 by Danya Khoujah, MBBS (Updated: 12/7/2019)
Click here to contact Danya Khoujah, MBBS

Cervical spondylotic disease is the most common cause of myelopathy in patients over the age of 55 years and accounts for 25% of all hospitalizations for spastic quadriparesis.
It can be confused with lumbar spine disease as the most common presentation is a slowly progressive spastic gait dysfunction with 15-20% presenting with bladder disturbance.

Take Home Message: Don’t rush to localizing a lesion to the lumbar spine without performing a thorough neuro exam. 

References

Gorter K. Influence of laminectomy on the course of cervical myelopathy. Acta Neurochir (Wien) 1976;33(3Y4):265-281