Krční myelopatie - diagnostický problém

Title in English Cervical Myelopathy - a Diagnostic Problem
Authors

KADAŇKA Zdeněk BENEŠOVÁ Yvonne MECHL Marek

Year of publication 2009
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Citation
Field Neurology, neurosurgery, neurosciences
Keywords myelopathy; acute transverse myelitis; amyotrophic lateral sclerosis; motor neuro disease; multifocal motor neuropathy
Description Abstract: This article deals with the difficulties involved in the diagnosis and differential diagnosis of cervical myelopathy. The author places particular emphasis on the identification of compressive spondylotic myelopathy and its differential diagnosis and points out the risks of under- and over-diagnosis. A further large group of cervical myelopathies is represented by spinal tumours, the diagnosis and treatment of which are associated with many pitfalls. Amyotrophic lateral sclerosis is also associated with diagnostic problems because it may easily be mistaken for spondylotic cervical myelopathy in terms of the ubiquity of degenerative changes of the spine, leading to unnecessary operations. Many problems are related to acute transverse myelitis, because this term has often been used interchangeably in the published literature; the aetiology is ambiguous and recognition therefore tricky.
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