Cervical spondylotic myelopathy (CSM) results from degenerative arthritis of cervical spine giving rise to posterior spondylotic ridges or osteophytes, disc herniation, facet joint arthropathy and ligamentum flavum hypertrophy/ buckling causing cervical cord compression and myelopathic
In addition, 50% showed improvement in their spasticity and complete resolution of myelopathy in 39% in myelopathic
However, Type III KFS patients do have increased risk of developing radiculopathic or myelopathic
symptoms when compared to Type I and II patients .
lesion tests were unremarkable when performed throughout the lower extremities bilaterally.
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.
These central nervous system lesions are usually associated with collateral long tract neurologic signs, visual field deficits, double vision, or myelopathic
Luk, "Entropybased analysis for diffusion anisotropy mapping of healthy and myelopathic
spinal cord," NeuroImage, vol.
However, once the patient becomes myelopathic
, the rate of long-term mortality increases and the chance of neurologic recovery decreases .
This may occur either due to iron deficiency or due to hemolytic or myelopathic
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%).