ACR Appropriateness Criteria® Myelopathy

Seidenwurm, David; Wippold, Franz J.; Cornelius, Rebecca S.; Angevine, Peter D.; Angtuaco, Edgardo J.; Broderick, Daniel F.; Brown, Douglas; Davis, Patricia C.; Garvin, Charles F.; Härtl, Roger; Holly, Langston T.; McConnell, Charles T.; Mechtler, Laszlo; Smirniotopoulos, James G.

doi:10.1016/j.jacr.2012.01.010

Cited by 15 publications

(10 citation statements)

References 64 publications

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“…The guidelines, however, specifically address imaging in community, not hospital patients with LBP. There are unequivocal clinical indications for emergency imaging in acute LBP related to hospital patients (e.g. acute myelopathy and cauda equina syndrome).…”

Section: Discussionmentioning

confidence: 99%

Outcomes of patients admitted to hospital medical units with back pain

Kyi

Kandane‐Rathnayake

Morand

et al. 2019

Internal Medicine Journal

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Section: Discussionmentioning

confidence: 99%

Outcomes of patients admitted to hospital medical units with back pain

Kyi

Kandane‐Rathnayake

Morand

et al. 2019

Internal Medicine Journal

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“…Any problem in the biomechanics of muscles and joints can result in improper adaptive responses of the CNS. Also, studies show that neck pain mainly originates from the vertebrae, articular surfaces, muscles, ligaments, and intervertebral discs [23]. The prevalence of neck pain is increasing worldwide.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Oral Habit Amendment in Neck Pain Treatment

Agha‐Hosseini

Mirzaii‐Dizgah

Shirazian³

et al. 2018

J Islam Dent Assoc Iran

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Background and Aim: Temporomandibular disorders (TMDs) can be associated with pain in other areas such as the neck. Multiple causes have been suggested for TMDs; parafunctional habits such as bruxism and clenching are among the most commonly suggested etiologies. This study aimed to assess the efficacy of the amendment of oral parafunctional habits in the improvement of TMDs and neck pain. Materials and Methods: This before-and-after interventional study was conducted on 136 patients with TMDs, parafunctional habits, and neck pain. The patients were instructed on how to quit their parafunctional habits and were followed up for two months. The neck pain disability index (NPDI), anamnestic dysfunction index (Ai), and clinical dysfunction index (Di) of TMD were evaluated before and after the modification of parafunctional habits. Data were analyzed using paired Student's t-test, Wilcoxon, Mann-U-Whitney, Kruskal-Wallis, and Spearman tests. P<0.05 was considered significant. Results: Most TMD patients were women (74.5%). The patients' scores significantly decreased from 4 to 1 in the Ai, from 8 to 1 in the Di, and from 49 to 25 in the NPDI two months after the intervention (P<0.05). There were no significant differences in the NPDI, Ai, and Di scores following the amendment of oral parafunctional habits between males and females or among different age ranges. Age did not significantly correlate with the changes in the NPDI, Ai, and Di scores after the improvement of oral parafunctional habits. The NPDI significantly correlated with the Ai score. Conclusion: It seems that parafunctional habit modification improves TMDs and neck pain.

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“…Clinical fluctuation in the history is of great importance in AVMs. It is important to evaluate symptoms such as progressive weakness developing within days and an increase in weakness after walking, particularly in middle-aged male patients presenting with gait disturbance (17,18). In our study, one patient presenting with clinical fluctuations having long segment myelopathy on spinal MRI diagnosed as spinal AVM by using digital subtraction angiography (DSA).…”

mentioning

confidence: 99%

“…Spinal MRI has high sensitivity especially in the presence of non-traumatic myelopathies and signal enhancement is observed in T2-weighted images. Contrast administration should be preferred for oncologic, inflammatory, infectious, and vascular myelopathies (18,20).…”

mentioning

confidence: 99%

“…The identification of surgical or medical treatment candidates is essential. Spinal epidural hematoma, masses, and abscesses require early surgical treatment (18). Although steroid treatment against the inflammatory process and edema is the first-line medical treatment, plasma exchange and intravenous immunoglobulin (IVIG) can be applied in autoimmune-related conditions unresponsive to steroid treatment.…”

mentioning

confidence: 99%

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Myelopathy: Retrospective Evaluation of Twenty-Eight Cases

Erdal¹,

Emre²,

Dartıcı³

et al. 2017

tnd

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Objective: Myelopathy is used to describe any neurologic deficit related to the spinal cord. Determining the etiology is important for detecting emergency situations and treating the cause. Materials and Methods:We evaluated 28 patients who were diagnosed as having and treated for myelopathy between January 2014 and January 2015 in our hospital. The clinical and laboratory findings of the patients and their response to treatment were assessed. Results:Of the 28 patients, 16 were male and 12 were female, the mean age was 48 years (range, 22-77 years). The most common initial symptoms were sensorial deficits and motor weakness. Demyelinating diseases were the most common diseases and multiple sclerosis was the most frequent etiology among demiyelinating diseases. Cervical spinal cord was the most frequent region involved in myelopathy episodes which was detected by magnetic resonance imaging on T2W images. We observed clinical improvement in 15 of the 20 patients who were treated with corticosteroids. In addition, vitamin B12 treatment led to clinical improvement in two patients who were diagnosed as having subacute combined degeneration. Conclusion:The diagnosis and etiology of myelopathy and identification of rare conditions that require emergency surgery or interventional treatments are of utmost importance. Keywords: Myelopathy, paraparesis, spinal cord damageAmaç: Miyelopati spinal kord ile ilgili herhangi bir nörolojik defisiti tanımlamak için kullanılır. Etiyolojinin belirlenmesi, acil durumların saptanması ve nedene yönelik tedavilerin başlanması açısından önemlidir. Gereç ve Yöntem:Bu çalışmaya Ocak 2014-Ocak 2015 yılları arasında hastanemizde miyelopati tanısı ile tetkik ve tedavi edilen 28 hasta dahil edildi. Hastaların klinik, demografik özellikleri, görüntüleme, laboratuvar bulguları ve tedaviye yanıtları değerlendirildi. Bulgular:Hastaların 16'sı erkek, 12'si kadındı. Yaş ortalamaları 48 (aralık, 22-77) idi. Hastaların başlangıç şikayetleri çoğunlukla motor ve duyusal semptomlardan oluşmaktaydı. Etiyolojide en sık demiyelinizan hastalıklar, bunlar içerisinden de multipl skleroz saptandı. Manyetik rezonans görüntüleme sonuçlarına göre en sık servikal bölgede miyelopati ile uyumlu T2A görüntülerde sinyal artışı izlendi. Yirmi hastaya steroid tedavisi verilirken bu hastalardan 15'inde tedaviye yanıt alındı. Subakut kombine dejenerasyon tanısı alan iki hasta B12 tedavisinden yarar gördü.Sonuç: Çalışmamızda miyelopati tanısı alan hastaların tanı, tedavi ve prognozları değerlendirildi. Acil durumların önemi, ayırıcı tanıda göz önünde bulundurulması gereken durumlar vurgulanmaya çalışıldı.

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ACR Appropriateness Criteria® Myelopathy

Cited by 15 publications

References 64 publications

Outcomes of patients admitted to hospital medical units with back pain

Outcomes of patients admitted to hospital medical units with back pain

Efficacy of Oral Habit Amendment in Neck Pain Treatment

Myelopathy: Retrospective Evaluation of Twenty-Eight Cases

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