Mimicking amyotrophic lateral sclerosis: Cervical spondylotic myelopathy

@article{Rissardo2019MimickingAL,
  title={Mimicking amyotrophic lateral sclerosis: Cervical spondylotic myelopathy},
  author={J. Rissardo and Ana Let{\'i}cia Fornari Caprara},
  journal={Current Medical Issues},
  year={2019},
  volume={17},
  pages={155 - 156}
}
case scenarIo An 80‐year‐old male was admitted to our hospital for urinary catheter change. The patient stated that he went to other clinic 1 year ago because he had experienced progressive weakness in all extremities and leaky bladder. The neurological examination at that time showed a wheelchair patient with weakness in the upper and lower limbs, fasciculations in the upper limb, left plantar extension, and hyperreflexia in the upper and lower limbs. Laboratory tests and brain magnetic… 

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Motor Neuron Disease in a Patient With Cervical Spondylotic Myelopathy: Too Much Bad Luck
TLDR
The case of a 74-year-old male who initially underwent posterior cervical decompression and instrumented fusion for cervical myelopathy demonstrated postoperative improvement followed subsequently by unexplained neurological deterioration, highlighting the importance of EMG and the vigilance that spine surgeons need to display to identify ALS or other MND, despite the presence of ongoing cervicalMyelopathy.

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  • 2019