Compressive and traumatic myelopathies

Jeremy L. Fogelson, William Krauss

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

There is a broad spectrum of causes of compressive myelopathies. Resulting neurologic deficits may not improve after decompression. Early diagnosis and treatment are paramount to ensuring long-term functional outcome, and errors in diagnosis with resultant delays in treatment can have drastic consequences. The history, including patient demographics and the onset and progression of the disease, and physical examination are critical tools in arriving at a correct diagnosis. Very often, the diagnosis is obvious. After the history and physical examination have concluded that a myelopathy is present, imaging is necessary to evaluate for a compressive etiology. Spinal MRI, including gadolinium-enhanced images, is the diagnostic study of choice and should be obtained expediently. Major advantages of MRI include its multiplanar capabilities and the ability to visualize nonosseous lesions. Dependent on MRI findings, other radiologic evaluations may be necessary, including noncontrast CT and plain x-rays. If an MRI is not obtainable because of the presence of a pacemaker, claustrophobia, lack of availability, clinical situation, or a multitude of other possible reasons, CT myelography is an excellent alternative tool. Plain myelography can help in defining a compressive lesion. The goal of imaging studies is to define the lesion and guide surgical decision making if cord compressionis found.

Original languageEnglish (US)
Pages (from-to)116-133
Number of pages18
JournalCONTINUUM Lifelong Learning in Neurology
Volume14
Issue number3
StatePublished - Jun 2008
Externally publishedYes

Fingerprint

Spinal Cord Compression
Spinal Cord Injuries
Myelography
Physical Examination
History
Aptitude
Phobic Disorders
Spinal Cord Diseases
Gadolinium
Neurologic Manifestations
Decompression
Disease Progression
Early Diagnosis
Decision Making
X-Rays
Demography
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Genetics(clinical)

Cite this

Fogelson, J. L., & Krauss, W. (2008). Compressive and traumatic myelopathies. CONTINUUM Lifelong Learning in Neurology, 14(3), 116-133.

Compressive and traumatic myelopathies. / Fogelson, Jeremy L.; Krauss, William.

In: CONTINUUM Lifelong Learning in Neurology, Vol. 14, No. 3, 06.2008, p. 116-133.

Research output: Contribution to journalArticle

Fogelson, JL & Krauss, W 2008, 'Compressive and traumatic myelopathies', CONTINUUM Lifelong Learning in Neurology, vol. 14, no. 3, pp. 116-133.
Fogelson, Jeremy L. ; Krauss, William. / Compressive and traumatic myelopathies. In: CONTINUUM Lifelong Learning in Neurology. 2008 ; Vol. 14, No. 3. pp. 116-133.
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