title: Clinical reasoning: a 51-year-old man with cervical pain and progressively deteriorating gait.
abstract: A 51-year-old Caucasian man presented with cervical pain, right hand weakness, and progressively deteriorating gait. Onset of symptoms occurred 1 month before admission with cervical pain that worsened during neck flexion. A few days later he noticed reduced dexterity and numbness of his right hand. During the following 3 weeks, his gait became increasingly unstable. Additionally, he reported erectile dysfunction and urinary hesitancy. No previous trauma was recalled. His medical and family history was unremarkable except for hypertension that was treated with angiotensin-converting enzyme inhibitors.
authors.affiliation: 2ns Department of Neurology, ATTIKO University Hospital, Medical School, University of Athens, Athens, Greece. jimrallis@hotmail.com
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Rallis
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Tsirigotis
authors.forename: Chryssa
authors.initials: C
authors.lastname: Arvaniti
authors.forename: Spiros
authors.initials: S
authors.lastname: Sgouros
authors.forename: Periclis G
authors.initials: PG
authors.lastname: Foukas
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Oikonomopoulos
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Andronas
authors.forename: Ioannis G
authors.initials: IG
authors.lastname: Panayiotides
authors.forename: Vasilios
authors.initials: V
authors.lastname: Kouloulias
authors.forename: Sotirios
authors.initials: S
authors.lastname: Papageorgiou
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Voumvourakis
authors.forename: Eleftherios
authors.initials: E
authors.lastname: Stamboulis
mesh_terms: D002574:Cervical Vertebrae / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D018450:Disease Progression; D005684:Gait / Q000502:physiology; D006801:Humans; D007796:Laminectomy / Q000379:methods; D008223:Lymphoma / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000209:etiology* / Q000473:pathology; D019547:Neck Pain / Q000209:etiology*; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery