کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3040283 1579702 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Cervical spondylotic myelopathy in the young adult: A review of the literature and clinical diagnostic criteria in an uncommon demographic
ترجمه فارسی عنوان
میلوپاتی اسپوندیلات سرویکس در بزرگسالان جوان: مرور ادبیات و معیارهای تشخیصی بالینی در جمعیت غیرمعمول
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی

BackgroundCervical spondylotic myelopathy (CSM) is typically encountered in the elderly population. Significant inconsistencies currently exist regarding the definition of the disorder, the true incidence of CSM in younger populations, and the established diagnostic criteria.ObjectiveTo highlight the lack of standardization in the definition and diagnosis of CSM.MethodsA PubMed literature search was conducted spanning the years 2001–2011. The search was limited by the following terms: (1) English language, (2) adults (19–44 years old), and (3) “cervical spondylotic myelopathy.” Each article was reviewed to determine if the presence of the definition of CSM existed in the article. The clinical characteristics used to make the diagnosis of CSM were recorded for each article. Cochran's Q statistic was used to determine whether some clinical characteristics were more frequently used than others.ResultsNinety-three papers were reviewed in detail and 16 case reports, reviews, and articles concerning less than 3 patients were excluded, resulting in 77 articles in the final analysis. The most common clinical definitions were gait disturbance (22/77 articles (28.6%)), upper limb paresthesias or sensory disturbance (21/77 (27.3%)), and clumsy hands (15/77 (19.5%)). Hyperreflexia, spasticity, and pathologically increased reflexes were identified as diagnostic criteria in a minority of patients.ConclusionThe literature employs a wide range of neurologic signs and symptoms to make the diagnosis of CSM, with a majority of studies failing to rely on strict diagnostic criteria. The clinician should not discount CSM as an explanation for the aforementioned findings, as it is well-reported in the literature among the ages 18–44.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Neurology and Neurosurgery - Volume 120, May 2014, Pages 68–72
نویسندگان
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