2.3. Clinical Evaluation
This protocol is extracted from research article:
Vertigo in Patients with Degenerative Cervical Myelopathy
J Clin Med, Jun 4, 2021; DOI: 10.3390/jcm10112496

Clinical neurological evaluation was focused on the assessment of clinical signs and symptoms of symptomatic myelopathy (with other possible causes excluded) and possible causes of vertigo. This included a detailed history of the illness, presence of comorbidities (cardiovascular including arterial hypertension, otorhinolaryngological and psychiatric abnormities, etc.), history of significant head or cervical spine trauma, Hallpike manoeuvre and a dedicated vertigo questionnaire (see below).

The following symptoms and signs were sought and/or determined as markers of DCM:

Symptoms

Gait disturbance;

Numb and/or clumsy hands;

Lhermitte’s phenomenon;

Bilateral arm paresthesias;

Weakness of lower or upper extremities;

Urinary urgency, or incontinence.

Signs

Corticospinal tract signs;

Hyperreflexia/clonus;

Spasticity;

Pyramidal signs (Babinski reflex or Hoffman’s sign);

Spastic paresis of any of the extremities (most frequently, lower spastic paraparesis);

Flaccid paresis of one or two upper extremities;

Atrophy of the hand muscles;

Sensory involvement in various distributions in upper or lower extremities;

Gait ataxia.

The following clinical and demographic data were also noted:

Age;

Sex.

Degree of disability was assessed by the modified Japanese Orthopaedic Association (mJOA) score [10].

Note: The content above has been extracted from a research article, so it may not display correctly.



Q&A
Please log in to submit your questions online.
Your question will be posted on the Bio-101 website. We will send your questions to the authors of this protocol and Bio-protocol community members who are experienced with this method. you will be informed using the email address associated with your Bio-protocol account.



We use cookies on this site to enhance your user experience. By using our website, you are agreeing to allow the storage of cookies on your computer.