Cervical Myelopathy and cervical spondylosis
Cervical myelopathy should term as (cervical spondylotic myelopathy),
because it is due to cervical spondylosis(degenerative changes over the cervical spine).
With degenerative changes in the cervical spine, the spinal canal getting narrower than before. As a result, the spinal cord eventually being compressed by the narrowed spinal canal causing symptom such as
hand numbness, upper limb weakness.
Patient may also have symptom of neck stiffness, radiation pain down from neck to shoulder and then to the hand.
Patient may have difficulities in holding chopstick, close or open the zip.
In advance stage, patient may experience some leg balancing problem such that he may have some feeling of leg unsteadiness!
Cervical myelopathy is more common in Asia people, rather than Europe or USA due to genetic predisposition.
As orthopaedic surgeon, the diagnosis is not based on x-ray, It must be diagnosed by history, physical examiantion and if possible MRI exam.
It seems that your father have recive the MRI cervical spine exam, otherwise, you cannot mentioned the fluid content inside the spinal cord.
If your father really suffer from cervical myeopathy, I suggest him to see orthopaedic surgeon in HK, namely Queen Mary Hospital as they are well-known in managment of cervical myelopathy patient.
UK has not much experience in this kind of patient because of the genetic distribution of the disease!
Best wishes!
Welcome question via yahooknowledge!
參考資料:
orthopaedic surgeon
發問者評價:
Thx, my father';s suffering what you';ve mentioned.And the doctor in uk said he can do an operation to stop his illness getting worse but the operation sounds quite dangerous&complex.Could you mind I ask you more opinions via e-mail?Or I';ve to ask you via yahooknowledge? |
