Od komprese krční míchy k degenerativní cervikální myelopatii

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Title in English From degenerative compression of the cervical spinal cord towards degenerative cervical myelopathy
Authors

BEDNAŘÍK Josef

Year of publication 2023
Type Article in Periodical
Magazine / Source Neurologie pro praxi
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.neurologiepropraxi.cz/artkey/neu-202301-0002_od_komprese_krcni_michy_k_degenerativni_cervikalni_myelopatii.php?back=%2Fsearch.php%3Fquery%3DLokalizace%2Bkorov%25E9%25BD%2Bh%2B%25E9%25B4%2526%2523710%253B%25E9%2526%25238216%253B%2526%2523376%2
Doi http://dx.doi.org/10.36290/neu.2022.044
Keywords degenerative cervical myelopathy; cervical spinal stenosis; non­-myelopathic degenerative cervical spinal cord compression; magnetic resonance imaging
Description Degenerative cervical myelopathy (DCM) is a consequence of a degenerative disease of the cervical spine leading to stenosis of the cervical canal and eventually to compression of the cervical spinal cord. DCM involves about 2% of the population and despite all accessible therapeutic options it could lead to a significant disability. Signs of cervical spinal cord compression detected with magnetic resonance imaging (MRI), however, end up in clinically symptomatic myelopathy in a smaller part of individuals with compression, while the rest remains without clinical symptoms and signs of cervical myelopathy - so called non-myelopathic degenerative cervical cord compression (NMDCC). The prevalence of NMDCC increases with age and in a population older than 60 years of age NMDCC involves at least one third of individuals. The review recapitulates current knowledge on a natural course of NMDCC, predictors of progression into DCM stage and a role of innovative quantitative MRI techniques in both research and practical management of degenerative cervical compression.
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