Ankylosing myelopathy

Ankylosing myelopathy Ankylosing myelopathy is one of the most common causes of difficulty in walking in older adults.
Myelopathy from cervical spondylitis and is manifested by pain and stiffness in the shoulder. These events occur early in the disease. Nerve root compression character root cause pain in the upper limbs, often with distribution in the C5 and C6. Spastic paraparesis may be a slow progressive spinal compression in the neck situation. Paraparesis is frequently accompanied by tingling of the hands and feet, sometimes asymmetrical. Leg paresis or pain radiating to the upper limb can be caused by coughing or sneezing.
Dermatometrica neurological examination reveals a loss of sensitivity to the upper limb. At the feet of vibratory disturbances are found. Lower limb tendon reflexes were exaggerated. Upper limb tendon reflexes are often diminished, often at bicipital (C5-C6). Intrinsic hand muscles in the region is often atrophied. In advanced cases of disease occur sphincter disorders, with compelling mictionare sensations and even incontinence.
Diagnosis Ankylosing myelopathy is diagnosed best by MRI (magnetic resonance imaging), which can detect spinal compression.
Treatment This disorder can be treated surgically. Surgery involves the removal of formation compressive posterior laminectomy. If you can not intervene in the way back, we had previously performed resection is protruzionat disc.