Final answer:
Cervical myelopathy is characterized by symptoms such as neck pain, weakness in the hands, hyperactive reflexes, impaired dexterity, and ataxia, along with potential visual and sensory disturbances. It involves upper motor neuron signs necessitating thorough medical evaluation and management.
Step-by-step explanation:
Symptoms of Cervical Myelopathy
Cervical myelopathy is a condition resulting from compression of the spinal cord in the neck region (cervical spine). The symptoms can vary based on the severity and location of the spinal cord compression, but generally include neurological deficits such as:
- Neck symptoms, which may include pain or stiffness.
- Decreased pain sensation due to nerve compression.
- Hand weakness, which can be unilateral or bilateral, affecting dexterity.
- Positive reflexes, indicating a response to stimuli that may be absent in normal circumstances.
- Exaggerated or hyperactive reflexes, suggesting upper motor neuron involvement.
- Difficulty with fine motor skills or dexterity, such as buttoning a shirt or handwriting.
- Ataxia, or impaired coordination and balance, possibly leading to unsteady gait.
Additional manifestations can include neurological symptoms like visual disturbances, muscle weakness, and altered sensations such as numbness or tingling (paresthesia).
Upper motor neuron signs, such as spasticity, the clasp-knife response, and a positive Babinski sign, may differentiate cervical myelopathy from conditions affecting lower motor neurons. It is crucial for a comprehensive evaluation by healthcare professionals to diagnose and manage this condition effectively.