Differential Diagnosis and Treatment of Cervical Spondylotic Myelopathy Mimicking Myelitis in an Adolescent Patient - A Case Report -

Il-Yeong Hwang; Jae-Ryong Cha; 김용찬; Sun-Jae Park; 정승현

KJC Korea
Journal Central

Journal of Korean Society of Spine Surgery 2021 KCI Impact Factor : 0.13

Korean | English

pISSN : 2093-4378 / eISSN : 2093-4386

http://journal.kci.go.kr/krspine

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Differential Diagnosis and Treatment of Cervical Spondylotic Myelopathy Mimicking Myelitis in an Adolescent Patient - A Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2017, 24(3), pp.198-202

Publisher : Korean Society Of Spine Surgery
Research Area : Orthopedic Surgery

Il-Yeong Hwang ¹, Jae-Ryong Cha ¹, 김용찬 ², Sun-Jae Park ³, 정승현 ³

¹울산대학교
²경희대학교
³울산대학교 의과대학 울산대학교병원 정형외과학교실

ABSTRACT
열림/닫힘 버튼

Study Design: Case report Objectives: This study introduces an interesting case of adolescent cervical myelopathy with atypical cervical magnetic resonance imaging (MRI) findings. A differential diagnosis was made, followed by successful surgical treatment. Summary of Literature Review: A careful differential diagnosis of high signal intensity on T2-weighted cervical MRI is necessary if there is no evidence of cervical stenosis. Recent reports have suggested that the differential diagnosis should be based on a comprehensive analysis of data, including brain MRI, a cerebrospinal fluid examination, and empirical steroid treatment. Materials and Methods: A 17-year-old male patient complained of upper extremity weakness, gait disturbance, and decreased sensation in the upper extremity. Cervical spine MRI findings suggested C3/4 disc herniation, moderate cervical stenosis, and high signal intensity in the spinal cord. A differential diagnosis was made between cervical myelopathy and myelitis. Results: Decompression and posterolateral fusion of C3/4 were performed in a 17-year-old patient with cervical myelopathy without significant cervical stenosis. Postoperatively, upper extremity sensation and weakness and gait disturbance showed improvement, and the Japanese Orthopedic Association score improved to 17 points at 6 months after surgery. Conclusions: In patients with cervical myelopathy showing high signal intensity on T2-weighted imaging without evident spinal stenosis, a differential diagnosis should be made between cervical myelopathy and myelitis; surgical decompression can be an effective treatment choice upon the diagnosis of cervical myelopathy.
KEYWORDS
열림/닫힘 버튼

Cervical, Myelopathy, Magnetic resonance imaging, Differential diagnosis, Decompression

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REFERENCES (10)
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* 2021년 이후 발행 논문의 참고문헌은 현재 구축 중입니다.

[journal] Garfin SR / 2000 / Cervical degenerative disorders : etiology, presentation, and imaging studies / Instr Course Lect 49 : 335~338

[journal] Bernhardt M / 1993 / Cervical spondylotic myelopathy / J Bone Joint Surg Am 75 : 119~128

[journal] Conway BL / 2017 / Utility of extension views in spondylotic myelopathy mimicking transverseMyelitis / Mult scler Relat Disord 11 : 62~64

[journal] Flanagan EP / 2014 / Specific Pattern of Gadolinium Enhancement in Spondylotic Myelopathy / Ann Neurol 76 : 54~65

[journal] Paternostro-Sluga T / 2008 / Reliability and validity of the Medical Research Council(MRC)scale and a modified scale for testing muscle strength in patients with radial palsy / J Rehabil Med 40 : 665~671

[journal] Anderst W / 2016 / Cervical Spine Disc Deformation During In Vivo Three-Dimensional Head Movements / Ann Biomed Eng 44 : 1598~1612

[journal] Rua A / 2015 / Spondylotic myelopathy mimicking myelitis : diagnostic clues by magnetic resonance imaging / Rev Neurol 61 : 499~502

[journal] Weinshenker BG / 2006 / Neuromyelitis optica IgG predicts relapse after longitudinally extensive transverse myelitis / Ann Neurol 59 : 566~569

[journal] Jeffrey DeSanto / 2011 / Spine infection/inflammation / Radiol Clin North Am 49 : 105~127

[journal] Jacob A / 2008 / An Approach to the Diagnosis of Acute Transverse Myelitis / Semin Neurol 28 : 105~120