[Gait disturbance without motor and sensory involvement in cervical myelopathy--clinical course and radiological findings].
Among 100 patients with cervical myelopathy, we found 7 patients with gait disturbance in which motor or sensory involvements were absent (group A). In these patients, the gait was unsteady, but not ataxic nor spastic. Some of them showed mild hyperreflexia, but no one had Romberg's sign. We compared the effect of neck traction and radiological findings in group A with these in 25 patients who had gait disorders as well as other symptoms associated with cervical myelopathy (group B). Mean age in group A (mean 83.9 +/- 7.9 ys) was older than that in group B (mean 76.6 +/- 5.7 ys). Gait disorders improved in 6 cases of group A (86%), and 5 cases in group B (20%) by conservative therapy of Glisson's traction. On plain X-ray examination, the physiologic lordosis of cervical spine was preserved, the cervical canal diameters from C2 to C7 were more wide, and the number of intervertebral excessive mobility had tendency to be less in group A than in group B. Cervical MRI indicated that the number of intervertebral spinal compression was less in group A than in group B. In the cervical myelopathy, there was a type showing only gait disturbance which was characterized by the good response to Glisson's neck traction, and by the preserved physiological lordosis, relatively wide spinal canal, and slight intervertebral compression.
Yaguchi
H
H
Department of Neurology, Tokyo Metropolitan Geriatric Hospital, Japan.
Nagura
H
H
Kanemaru
K
K
Enomoto
T
T
Mitani
K
K
Kita
Y
Y
Yamanouchi
H
H
D000368:Aged; D000369:Aged, 80 and over; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D005260:Female; D005684:Gait; D006801:Humans; D008297:Male; D011859:Radiography; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology* / Q000628:therapy; D014143:Traction