Cervical Spondylotic Myelopathy, Be Vigilant of Miscellaneous Presentations: A Case Series

Background: Cervical spondylotic myelopathy (CSM) is the result of prolonged compression of the centralspinal canal. Clinical and radiological manifestations of CSM could be misleading and physicians need to bevigilant while evaluating patients with neurologic complaints otherwise delay in diagnosis and managementwould happen that could finally lead to a poor outcome. The aim of this study was to report our series ofpatients with CSM to reiterate that CSM could have diverse manifestations, and it can be only identified if thephysicians are aware and do a thorough investigation. The progressive nature of CSM makes its early diagnosisand subsequent appropriate management vital to avoid further complications.Methods: A total of 10 patients who had diagnosed with CSM and undergone surgical treatment at ourinstitute evaluated according to the pre-operative and post-operative Nurrick classification and also preoperativehistory and physical examination findings and elecrodiagnostic examination.Conclusions: Because of progressive nature CSM and wide range of clinical manifestation, high index ofsuspicion, early diagnosis and early treatment prior to permanent spinal cord injury is recommended.© 2015 Tehran University of Medical Sciences. All rights reserved.Citation: Mirzashahi B, Mortazavi SMJ, Farzan M. Cervical Spondylotic Myelopathy, Be Vigilant ofMiscellaneous Presentations: A Case Series. Acad J Surg, 2015; 2(3-4): 62-5.

Keywords:

Cervical spondylotic myelopathy , Diagnostic errors , Manifestations , Misdiagnosis , Mistreatment , Surgical treatment