2016 年 33 巻 3 号 p. 352-356
The first step in evaluating patients with spinal cord disease is to localize the lesion from the segmental sign. Cervical spondylosis, which can present as radiculopathy and myelopathy, is common in people over the age of 50. It is necessary to assess whether neurological symptoms result from cervical spondylosis or other neurological disorders. In order to avoid misdiagnosis, it is important to compare the levels of the lesions shown on imaging with the clinical findings. Differential diagnosis between amyotrophic lateral sclerosis and cervical spondylosis is an issue of major clinical importance. The cervical spinal cord MR images of spinal cord sarcoidosis sometimes mimics that of cervical spondylotic myelopathy.
Spinal dural arteriovenous fistula is a treatable spinal cord disease, however it is still underdiagnosed.
