Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Bariatric Surgery
  •  General Surgery
  •  Gynecological Surgery
  •  Neurological Surgery
  •  Endocrine Surgery
  •  Plastic Surgery
  •  Minimally Invasive Surgery
  •  Orthopaedic Surgery

Abstract

Citation: Clin Surg. 2020;5(1):2699.Case Series | Open Access

Anterior Sensory Myelopathy: A Retrospective Observational Case Series of an Overlooked Neurological Disorder

Jeffrey W Cozzens* and Alex P Michael

Department of Surgery, Southern Illinois University School of Medicine, USA

*Correspondance to: Jeffrey W Cozzens 

 PDF  Full Text DOI: 10.25107/2474-1647.2699

Abstract

Background: Individuals with cervical myelopathy can sometimes present with more subtle signs and symptoms of loss of pain and temperature sensation from compression of the anterolateral spinothalamic tract without involvement of other spinal cord tracts. It is necessary to recognize early and subtle forms of myelopathy. Objective: The purpose of this report is to describe a series of patients who present with a mostly sensory cervical myelopathy from a radiographically documented spinal cord compression of the anterolateral spinothalamic tract. Methods: This study is a retrospective case series. Individuals were selected who presented with radiographic documentation of cervical spinal cord compression and loss of pain and/or temperature sensation below the level of the compression. Individuals who exhibited signs of corticospinal tract dysfunction (weakness, hyperreflexia, ataxia and/or pathological spinal reflexes) were excluded. Results: Seven individuals (age range 36 to 52, mean 42.4) were identified as having loss of sensation to pain and/or temperature below and contralateral to the level of anterior spinal cord compression. In all cases, the compression was due to a cervical herniated intervertebral disc. No patient had lower extremity weakness, hyperreflexia, or spasticity. No patient had spinal sensory evoked potential abnormality. Conclusion: Cervical disc compression of the anterior spinal cord can lead to dysfunction of pain and temperature sensation without causing typical signs of myelopathy. Most patients who present with this myelopathy syndrome also present with pain and are likely treated with conservative medical therapy. This series highlights a very subtle form of myelopathy that is not widely recognized.

Keywords

Spinothalamic tract; Myelopathy; Cervical spine; Neuroanatomy; Neurophysiology

Cite the article

Cozzens JW, Michael AP. Anterior Sensory Myelopathy: A Retrospective Observational Case Series of an Overlooked Neurological Disorder. Clin Surg. 2020; 5: 2699..

Search Our Journal

Journal Indexed In

Articles in PubMed

Sildenafil Transiently Delays Early Alveolar Bone Healing of Tooth Extraction Sockets
 PubMed  PMC  PDF  Full Text
Mesh Sprayer Device with Liquefied Mesh Delivery System: Proposed Alternative for Currently Available Meshes in Hernia Repair and Supplement to Abdominal Closure
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Delta Neutrophil Index and Symptomatic Time are Effective Factors for Predicting Perforated Appendicitis
 Abstract  PDF  Full Text
Optimal Surgical Procedure for Ovarian Metastases from Colorectal Cancer based on a Retrospective Analysis
 Abstract  PDF  Full Text
View More...