At an average follow-up of 9 months, myelopathic
symptoms were improved in seven patients and not changed in two patients.
The clinical presentation of ependymoma is similar to that of other intramedullary lesions, with a prolonged history of slowly worsening myelopathic
symptoms prior to diagnosis.
Rhee et al (14) prospectively examined the prevalence of myelopathic
findings in patients with and without confirmed CSM.
They may also have neurological symptoms ranging from clumsiness, with subtle myelopathic
signs, to complete motor fallout.
As an example of the use of this assay, we had the opportunity to evaluate a 25-year-old woman with a 6-year history of myelopathic
spasticity, peripheral neuropathy, and dysphagia.
Is surgery indicated for asymptomatic or mildly myelopathic
patients with ossification of the posterior longitudinal ligament?
The "presyrinx" state: a reversible myelopathic
condition that may precede syringomyelia.
This can give insight into the present and extent of myelopathic
changes that may be too subtle for routine imaging to reveal (Figures 9 and 10).
In that study, 14 of the 30 nonambulatory patients (47%) died of myelopathic
complications, such as pneumonia, infected pressure sores, and urosepsis, which are the leading causes of death in the first year after traumatic SCI.
significant VASPI score improvement was found in patients with myelopathic
pain (19% vs.
On average, the patients had experienced myelopathic
symptoms for 18 months, but some of them were not diagnosed for up to 2 years because they did not have the typical reflex problems, Dr.
Patients may have a full-blown myelopathic
picture or may have transient weakness and sensory disturbances followed by progressive radiculospinal symptoms.