Cervical Spine
A 62-year-old man presents with gradually worsening hand clumsiness, difficulty with buttons, and an unsteady gait. He has had neck pain for years. Examination reveals a broad-based gait, hyperreflexia in the lower limbs, and bilateral positive Hoffmann signs. He has difficulty with rapid alternating hand movements. Regarding cervical myelopathy:
Mark each as TRUE or FALSE
Cervical myelopathy is spinal cord compression, most commonly from degenerative spondylosis; typical...
Key examination findings include: Hoffmann sign (flicking middle finger causes thumb/index flexion -...
Cervical myelopathy causes lower motor neuron signs in the legs; hyporeflexia is typical; Babinski r...
MRI is the imaging modality of choice showing cord compression, signal change (T2 hyperintensity ind...
Natural history is variable but often progressive (75% deteriorate); surgery is indicated for sympto...
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Click T (True) or F (False) for each option