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KMID : 0365420080270020107
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Journal of the KLIMA
2008 Volume.27 No. 2 p.107 ~ p.111
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A Case of Medical Examination for the Relationship between Symptom onset of cervical spondylotic myelopathy and minor trauma
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Kim Sang-Hyun
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Abstract
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The Cervical spondylotic myelopathy (CSM) is degenerative compressive myelopathy which initiation of symptoms seems to be induced by minor cervical trauma or spontaneous event. There was a case of Claim medical examination which was requested to discriminate the cause of ambulatory quadriparesis. Patient asserted that the onset of his myelopathy was followed by minor trauma. The author considered the medical recordings, MRI scan, Claim reports by claim manager. The space available for cord was the smallest at C3-4 level. But on MRI findings, the spinal cord at C3-4 level seemed to be already damaged. There were no recent injury evidences such as hemorrhages, spinal cord contusions, edema, soft tissue hemorrhages. If the space available for cord was small enough to compress the spinal cord, the serious neurologic deficits, non-ambulatory quadriplegia, etc were commonly induced by cervical extension trauma. Patient’s asserts did not correspond to his clinical course after cervical trauma. The author reports a case of medical examination for the relationship between symptom onset of cervical spondylotic myelopathy and minor trauma within author’s experience.
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KEYWORD
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cervical spondylotic myelopathy, symptom onset, space available for cord, neurologic instability, Medical examination
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