Case report on compressive cervical myopathy

Authors

  • Vaishali Tembhare Department of Medical Surgical Nursing, Faculty of Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra, India https://orcid.org/0000-0002-7799-3712
  • Ruchira Ankar Department of Medical Surgical Nursing, Faculty of Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra, India
  • Dr. Seema Singh Department of Medical Surgical Nursing, Faculty of Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra, India
  • Dr. Ranjana Sharma Department of Medical Surgical Nursing, Faculty of Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra, India
  • Savita Pohekar Department of Medical Surgical Nursing, Faculty of Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Sawangi (Meghe), Wardha, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra, India

Keywords:

tingling sensation, compression cervical myelopathy

Abstract

Introduction: Cervical myelopathy is a condition describing a compression of the spinal cord at the cervical level of the spinal column resulting in spasticity, hyperreflexia, pathologic reflexes, digit/ hand clumsiness or gait disturbance. Classically it has an insidious onset progressing in a stepwise manner with functional decline. Without treatment, patients may progress toward significant paralysis and loss of function [1].

Clinical findings: Symptoms of cervical myelopathy include clumsiness in the hands, restricted ability to do fine motor skills, neck pain, weakness, pain in the shoulder or arms, and numbness in one or both hands.

Diagnostic evaluation: Blood test: Hb-13.5 gm%, Total RBC count-4.95 millions/cu.mm, Total WBC Count-14700 / cu mm, Total Platelet Count: 2.28, RDW- 14.6 %, Monocytes-04%, Granuloctyes-64%, Lymphpocytes-30%, Therapeutic Intervention: Tab MVBC OD, Tab Dolo 650 SOS, Tab Neurovit 1 Tab OD.

Outcomes: After treatment patient shows improvement.

Conclusion: Patient was hospitalized to AVBRH Neurosurgery Department with chief complain of tingling sensation in both lower limbs and also involved bilateral upper limbs associated with generalized weakness.

References

Nagoshi N, Tsuji O, Okada E, Fujita N, Yagi M, Tsuji T, et al. Clinical indicators of surgical outcomes after cervical single open-door laminoplasty assessed by the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire. Spinal Cord. 2019;57(8):644-651.

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Grelat M, Gimenez C, Madkouri R. Cervical Cord Compression by Exostosis. J Orthop Sports Phys Ther. 2019;49(2):112.

Cook C, Roman M, Stewart KM, Leithe LG, Isaacs R. Reliability and diagnostic accuracy of clinical special tests for myelopathy in patients seen for cervical dysfunction. Journal of Orthopaedic & Sports Physical Therapy. 2009;39(3):172-8.

DeRota JJ, et al. Cervical spondylotic myelopathy due to chronic compression: the role of signal intensity changes in magnetic resonance images. J Neurosurgical Spine. 2007;6:17-22.

Emery SE. Cervical spondylotic myelopathy: Diagnosis and treatment. J Am Academy of Orthopedic Surgeons. 2001;9:376-388.8. Voorhies RM. Cervical spondylosis: recognition, differential diagnosis, and management. Ochsner J. 2001;3:78-84.

Murphy DR, Beres JL. Cervical myelopathy: a case report of a "near-miss" complication to cervical manipulation. J Manipulative Physiol Ther. 2008;31(7):553-7.

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Published

2023-01-13

How to Cite

[1]
V. Tembhare, R. Ankar, S. Singh, R. Sharma, and S. Pohekar, “Case report on compressive cervical myopathy”, J. A. Med. Sci, vol. 3, no. 1, pp. 13–15, Jan. 2023.

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