Edit concept Question Editor Create issue ticket

Narrow Cervical Spinal Canal


Presentation

  • In this case neurological symptoms may present and a full neurological examination is required.[physio-pedia.com]
  • Hoffman sign, if present, has been shown to positively correlate with CSM. 11 A Babinski sign, ankle clonus, and Lhermitte phenomenon should be documented, if present.[now.aapmr.org]
  • Congenital narrowing of cervical spinal canal Congenital stenosis of the cervical spine Prevalence: - Inheritance: - Age of onset: Adolescent , Adult ICD-10: Q06.8 OMIM: - UMLS: - MeSH: - GARD: - MedDRA: - The documents contained in this web site are presented[orpha.net]
  • The clinical diagnosis of cervical spondylotic myelopathy can be difficult because of the multiple potential causes of similar symptoms and the variable presentations.[pietromortini.com]
  • When stenosis is present in the cervical spine in the neck directly below the skull, symptoms can include weakness or tingling in the arm and hand and difficulty walking and/or balancing.[brainspinesurgery.com]
Physician
  • To ensure an accurate diagnosis, your physician may order several diagnostic tests.[muirortho.com]
  • Information Neck and Arm Pain Information Spine Patient Education Videos Spine Patient Education Videos II Rehabilitation Your Visit Your Visit Request an Appointment Policies and Forms Insurance Workers’ Compensation Case Managers Resources Referring Physicians[bostonspinesurgery.com]
  • The appropriate treatment protocol, including which, if any, surgical procedures are warranted, is a decision that is made by patient and physician and is based on the individual circumstances of each case.[understandspinesurgery.com]
  • Diagnosis of Cervical Spinal Stenosis The first step in diagnosing cervical spinal stenosis is a detailed medical history followed by a physical examination, so that the physician can recognize what appear like common symptoms are.[drmoza.com]
  • Our physicians, therapists and other caregivers provide you with options that increase mobility and reduce pain. Most people who come to the Comprehensive Spine Center do not require surgery.[wexnermedical.osu.edu]
Arm Pain
  • pain (radiculopathy) Spinal cord resulting in imbalance and coordination difficulty (myelopathy) If spinal nerves are being strongly pinched, a radiculopathy may occur and the patient can experience constant arm pain, as well as numbness and weakness[precisionhealth.com.au]
  • Opinions The Athlete’s Spine Spine Tumors The Injured Worker Out-of-State Patients International Patients Patient Education Conditions & Diagnosis Procedures and Treatments Anatomy Diagnostic Testing Low Back Pain with Sciatica Information Neck and Arm[bostonspinesurgery.com]
  • Myelopathy often develops suddenly or gradually and is characterized by neck pain, arm pain, weakness, and rarely paralysis.[sgspine.com]
  • Although some patients experience tremendous relief from many of the symptoms of their cervical stenosis after cervical decompression surgery (neck and arm pain, numbness, tingling), other patients will experience lingering effects of these symptoms even[urmc.rochester.edu]
  • This patient has neck and arm pain with numbness, weakness, and leg weakness with walking. Nonoperative Treatment Many different nonsurgical treatments help relieve symptoms.[coloradospineinstitute.com]
Hand Pain
  • Sometimes, there can be burning sensations with tingling and pins and needles from the shoulder to the hand.[livestrong.com]
  • SYMPTOMS Symptoms due to compression of the spinal cord and/or nerves include: Arm or hand pain Bowel or bladder incontinence Imbalance when walking Lack of coordination and “clumsiness” Neck pain Shoulder pain Weakness in the arms or legs Stenosis in[precisionhealth.com.au]
Chronic Fatigue Syndrome
  • In addition, cervical spinal stenosis has been linked by some researchers as the main cause of fibromyalgia, as well as the main cause of another related fibromyalgia condition, chronic fatigue syndrome (CFS).[fibromyalgia-symptoms.org]
Lordosis
  • […] posteriorly: hypertrophic facets & infolded ligamentum flavum posteriorly; - hyperflexion: - neural structures are tethered anteriorly across discs or spondylitic bars; - vetebral collapse: - collapse of lordotic cervical discs results in loss of normal lordosis[wheelessonline.com]
  • Most skilled practitioners believe that getting the spinal alignment to fuse in as close to the normal neutral lordosis will keep the remaining levels from degenerating as quickly.[arthurjenkinsmd.com]
  • Laminoplasty [7] [8] The posterior approach relies on the decompression by both the direct removal of offending posterior structures and indirect posterior translation of the spinal cord; thus, patients should undergo maintenance of lordosis or correctable[physio-pedia.com]
Blister
  • The blisters on my calf burst after the three weeks and now, 6 weeks later are black, dented areas surrounded by red, taught skin.[patient.info]
Abnormal Reflex
  • reflexes that may suggest spinal cord involvement.[emoryhealthcare.org]
  • Dr.Rao will also look for loss of extremity reflexes, muscle weakness, sensory loss, or abnormal reflexes which may suggest spinal cord involvement. Tests: After examining you, Dr.Rao can use a variety of tests to look at the inside of the body.[caspinecare.com]
  • During the physical exam your healthcare provider will look for signs of spinal stenosis, such as loss of sensation, weakness, and abnormal reflexes. These tests help make a diagnosis: X-rays of your lumbar spine.[cedars-sinai.edu]
Babinski Sign
  • ’s sign Hoffman’s sign Outcome Measures Neck Disability Index Neck Pain and Disability Scale Medical Management For patients presenting with increasing weakness, pain or instability with walking, surgical management of cervical spine stenosis may be considered[physio-pedia.com]
  • Hoffman sign, if present, has been shown to positively correlate with CSM. 11 A Babinski sign, ankle clonus, and Lhermitte phenomenon should be documented, if present.[now.aapmr.org]
Ataxia
  • Compression of the cord causing myelopathy, may even occur due to tumors of the cervical vertebrae. [4] Cerebellar ataxia Will occur due to compression of the cerebellar tracts in the spinal cord. [2,5] More common in the elderly population As the vertebral[explainmedicine.com]
  • Sensory ataxia secondary to posterior column dysfunction is assessed by performing a Romberg test. Functional assessment A wide-based gait may be observed.[now.aapmr.org]
Cervical Cord Compression
  • The prevalence of cervical cord compression, ISI, and the clinical CM was significantly higher in the narrower CSC group.[ncbi.nlm.nih.gov]
  • This may be due to cervical cord compression, where it causes spasticity and a upper motor type of paralysis. Alternatively, narrowing of the spinal foramina may compress the nerve roots, causing a lower motor type flaccid paralysis.[explainmedicine.com]
Vertigo
  • Other symptoms include: Nausea Vomiting Dizziness and vertigo Sensitivity to light, sounds and smells Widespread pain Weakness and clumsiness Balance problems Difficulty with memory and concentration Increased urinary urgency and frequency Disturbances[drmoza.com]
  • With myelopathy, there is no sensation of spinning, or "vertigo." Rather, your head and eyes feel steady, but your body feels unable to follow through with what you are trying to do. Loss of fine motor skills.[orthoinfo.aaos.org]

Treatment

  • Myelography and myelographic CT are still useful for decisions on operative treatment, especially in cases of moderate stenosis. This may, however, not apply to imagers operating at 0.5 Tesla as below.[ncbi.nlm.nih.gov]
  • Surgical treatment For patients with cervical stenosis with myelopathy, the only effective treatment option is surgery to decompress the spinal cord.[massgeneral.org]
  • Please talk with your doctor about diagnosis and treatment information.[medtronic.com]
  • Request an Appointment: 443-997-2663 (BONE) Spinal Stenosis Treatment Nonsurgical Options Nonsurgical treatment for spinal stenosis may include: Physical therapy Anti-inflammatory medications, including steroid injections Activity modification These treatments[hopkinsmedicine.org]

Prognosis

  • Diagnosis, Prognosis, and Treatment for Congenital Spinal Stenosis Congenital spinal stenosis tends to worsen progressively with age. Many people born with the condition may develop symptoms as early as the age of 15.[spinaldisorders.com]
  • Selected Bibliography Lees F, Turner JWA: Natural history and prognosis of cervical spondylosis. BMJ 1963;2:1607.[uscspine.com]
  • You will need to discuss your prognosis with your Neurosurgeon prior to making a decision to have surgery.[pietromortini.com]
  • […] stenosis, where the spinal cord is affected, symptoms might include: Weakness in the arms and/or legs Spastic reflexes and movement Altered sensation Incontinence Bladder or bowel function changes If treatment is not pursued, the cervical spinal stenosis prognosis[braceability.com]

Etiology

  • Absolute stenosis is defined as 1 Etiology Acquired cervical stenosis results from age-related degenerative disk and facet disease with associated uncinate process hypertrophy, ligamentum flavum thickening, and buckling of the posterior longitudinal ligament[now.aapmr.org]

Epidemiology

  • However, no epidemiologic data of the CSC based on a population-based cohort are available.[ncbi.nlm.nih.gov]
  • A prospective, population-based study of the demographics, epidemiology, management, and outcome of out-of-hospital pediatric cardiopulmonary arrest. Ann Emerg Med. ‎[books.google.it]
  • Normal cervical vertebrae Epidemiology Cervical spine stenosis appears to be very common.[physio-pedia.com]
  • Congenital spinal stenosis is associated with short pedicles and bony anomalies of the lateral masses and laminae. 2 Epidemiology including risk factors and primary prevention Cervical spondylosis is a frequent finding in asymptomatic adults with prevalence[now.aapmr.org]
  • Epidemiology, physical examination, and neurodiagnostics. Spine 1998 ; 23 : 2663 –2672 Irvine DH, Foster JB, Newell DJ, Klukvin BN. Prevalence of cervical spondylosis in a general practice. Lancet 1965 ; 1 : 1089 –1092 Langfitt TW, Elliot FA.[ajnr.org]
Sex distribution
Age distribution

Pathophysiology

  • Neurological manifestations of cervical spondylosis: an overview of signs, symptoms, and pathophysiology. Neurosurgery 2007; 60: S14–20 CrossRef PubMed 23. Rao R.[springermedizin.de]

Prevention

  • Ohio State’s stroke program is improving health care by developing the next breakthroughs in stroke prevention, diagnosis and care.[wexnermedical.osu.edu]
  • […] heal an orthopedic problem or sports injury You want to overcome a balance disorder or neurological condition You have been in an auto accident or injured on the job You want to improve your strength, endurance and physical conditioning You want to prevent[perfectbalancept.com]
  • What Is the Prevention for Spinal Stenosis? Unfortunately, there is no way to prevent spinal stenosis from occurring. It is most commonly due to degenerative arthritis that occurs with ageing.[emedicinehealth.com]
  • While spacers are designed to remain between your spinous processes permanently to prevent the nerves from being pinched, the spacer can be removed.[medtronic.com]
  • Unfortunately, the symptoms of myelopathy may be irreversible despite surgical decompression of the spinal cord, so spine surgery for myelopathy is considered successful if it only preserves the patient’s current functional status and prevents further[getmovinwithpoa.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!