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MYELOPATI

dr. Mimi Lotisna, Sp.S


Definition
• Myelopathy refers to pathology of the spinal
cord.
 Compressive :
- When due to trauma, it is known as spinal cord
injury
- Tumor
 Non Compressive :
– When inflammatory, it is known as myelitis.
– Disease that is vascular in nature is known as vascular
myelopathy.
Sign & symptom
• Clinical signs and symptoms depend on which
spinal cord level (cervical, thoracic or lumbar) is
affected and the extent (anterior, posterior or
lateral) of the pathology, and may include:
• Motoric symptom :
Upper motor neuron at the below of the lesion
(weakness, spasticity, clumsiness, altered tonus)
Lower motor neuron at the site of the lesion
• sensory deficits
• bowel/bladder symptoms and sexual dysfunction.
Examination
1. Neurological examination
2. Perspiration test
3. Radiologic examination
4. Laboratory examination
5. Lumbar Puncture if indicated
Treatment
• Depend on the lesion!!

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