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Differential diagnosis of spondylotic myelopathy

Authoring team

  • approximately 12% of patients with myelopathic features attributed to a degenerative spondylosis actually have a different underlying problem
    • intra-spinal tumours, syringomyelia, and Arnold–Chiari malformations may all mimic spondylotic myelopathy
    • amyotrophic lateral sclerosis and multiple sclerosis are also in the differential
    • cervical spine involvement in rheumatoid arthritis may cause cervical instability, and thus myelopathy
      • however this is a feature of chronic rheumatoid disease, which should thus be obvious from the history and examination

Reference:

  1. ARC (January 2002). Rheumatic Disease in Practice

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