NEUROLOGICAL SIGNS & SYMPTOMS IN CERVICAL SPONDYLOSIS

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FARAJI M.; ASHRAFZADEH F.

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Journal Paper

Paper Information

Journal: Medical Journal of Mashhad University of Medical Sciences Year:2004 | Volume:47 | Issue:84 Page(s): 194-200

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Information Journal Paper

Title

NEUROLOGICAL SIGNS & SYMPTOMS IN CERVICAL SPONDYLOSIS

Author(s)

FARAJI M. | ASHRAFZADEH F. | Issue Writer Certificate

Keywords

CERVICAL SPONDYLOSISQ4

MYELOPATHYQ4

QUADRIPARESIAQ4

Abstract

Introduction: According to high prevalence of CERVICAL SPONDYLOSIS and many questions about indications of surgery we decided to sudy its signs and symptoms especially those that lead to surgery.Material and method: This is a desciptive study on 54 patients that operated on in Qaem Hospital between 1991-2001. Special data collection sheets that included personal informations, signs and symptoms, evolution, neuro-imaging findings and indications of surgery. All data were analyzed using statistical tests.Results: In 54 patients who were studied, the results were as follows: male was predominant significantly (81.5% versus 18.5%), all patients age was above 40 years (average 58.9 years), the course of disorder was slowly progressive in 89% and acute in 11%.Hyperreflexia 92.5% Babinski sign 70%, Hoffmann sign 52%, clonus 41%, fasciculation 11%, paresthesia 63%, vague sensory level 44.5% proprioceptive sensory loss 22%, cervical dermatome sensory loss 52%, gait disorder 85%, motor weakness 85%(tetraparesis was the most common), neck pain 63%, Radicular pain 40.5%. hand atrophy 37% and sphincteric disorder 33%.MRI findings Was: 96% of patients had canal stenosis (12.5% of them had one level stenosis and 87.5% had multiple level stenosis). The most common level of stenosis was C5-C6, C6-C7, C4-C5, and C3-C4 respectively.Indications of surgery were as follows; progressive motor weakness 96%, intractable pain 56% and sphincteric disorders 33%.Some of patients had more than one indication.Conclusion: male to female ratio was more than4, the most common level of compression were C5-C6, C6-C7, and in comparison with other data, we had a higher incidence of neck pain, spastic tetraparesis , Hoffmann sign, hand atrophy and spastic gait.

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APA: Copy

FARAJI, M., & ASHRAFZADEH, F.. (2004). NEUROLOGICAL SIGNS & SYMPTOMS IN CERVICAL SPONDYLOSIS. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 47(84), 194-200. SID. https://sid.ir/paper/51995/en

Vancouver: Copy

FARAJI M., ASHRAFZADEH F.. NEUROLOGICAL SIGNS & SYMPTOMS IN CERVICAL SPONDYLOSIS. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2004;47(84):194-200. Available from: https://sid.ir/paper/51995/en

IEEE: Copy

M. FARAJI, and F. ASHRAFZADEH, “NEUROLOGICAL SIGNS & SYMPTOMS IN CERVICAL SPONDYLOSIS,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 47, no. 84, pp. 194–200, 2004, [Online]. Available: https://sid.ir/paper/51995/en

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