lesion tests were unremarkable when performed throughout the lower extremities bilaterally.
Dysfunction of ascending and descending axons and local neural circuits is reflected by various myelopathic
signs and symptoms.
The age of the patient and short duration of symptoms might be other reasons that account for the lack of myelopathic
Prognosis of OPIDN depends on the age of the individual (a younger age is associated with mild neuropathy), type of OP, persistence of myelopathic
features, pyramidal involvement, degree of CNS involvement to peripheral nerve dysfunction.
This may occur either due to iron deficiency or due to hemolytic or myelopathic
New MRI, compared with the previous one which was taken in 2011, showed significant progression of spondylotic changes as well as myelopathic
changes at C3-C4 level (Figure 7).
At an average follow-up of 9 months, myelopathic
symptoms were improved in seven patients and not changed in two patients.
Significant relief of radicular and myelopathic
pain was achieved after radiosurgery in most cases (94%).
Particular attention was paid to information regarding the status of myelopathic
symptoms as assessed by Nuricks scale (1972)(8) (Table-1) a six point scale (0-5) that addresses the 'difficulty in walking' and the modified Japanese Orthopaedic Association Scale (mJOA) (1991).
pain manifests in less than 20% of cases on the site of preoperative pain (neuropathic oncologic pain), or where previously there was no pain (spinothalamic fiber injury), or as a recovery of a painful sensitivity in painless sites (loss of efficacy in the procedure).
Rhee et al (14) prospectively examined the prevalence of myelopathic
findings in patients with and without confirmed CSM.
They may also have neurological symptoms ranging from clumsiness, with subtle myelopathic
signs, to complete motor fallout.