Observations in the diagnosis of cervical myelopathy in patients suffering from diabetes mellitus

To identify any observations that could aid in the diagnosis of cervical myelopathy in patients suffering from diabetes mellitus (DM). We compared the preoperative neurological findings in patients with cervical myelopathy among non-diabetics, mild diabetics and severe diabetics. A retrospective com...

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Bibliographic Details
Published in:Spinal cord 2012-12, Vol.50 (12), p.878-881
Main Authors: OKADA, M, MINAMIDE, A, YOSHIDA, M, KAWAKAMI, M, ENYO, Y, ENDO, T
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Central nervous system diseases
Cerebrospinal fluid. Meninges. Spinal cord
Cervical Vertebrae - surgery
Diabetes Complications - diagnosis
Diabetes Complications - surgery
Diabetes mellitus
Female
Gait Disorders, Neurologic - etiology
Gait Disorders, Neurologic - physiopathology
Glycated Hemoglobin A - analysis
Hand
Humans
Male
Medical sciences
Middle Aged
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Nerve conduction
Nervous system (semeiology, syndromes)
Neurologic Examination
Neurology
Orthopedic Procedures
Peripheral nerves
Reflex, Babinski
Reflex, Stretch - physiology
Reflexes
Retinopathy
Retrospective Studies
Sensation Disorders - etiology
Sensation Disorders - physiopathology
Sensory evaluation
Spinal cord
Spinal Cord Compression - diagnosis
Spinal Cord Compression - etiology
Spinal Cord Compression - surgery
Surgery
Tendons
Urinary bladder
Urinary Bladder, Neurogenic - etiology
Urinary Retention - etiology
Urinary Retention - physiopathology
Walking
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Summary:To identify any observations that could aid in the diagnosis of cervical myelopathy in patients suffering from diabetes mellitus (DM). We compared the preoperative neurological findings in patients with cervical myelopathy among non-diabetics, mild diabetics and severe diabetics. A retrospective comparative study. Department of Orthopaedic Surgery, Wakayama Medical University, Japan. We retrospectively reviewed 111 patients who had undergone laminoplasty for cervical compressive myelopathy: 56 without DM and 29 with severe diabetes more than 10 years of medication; more than 7.0% HbA1c; diabetic retinopathy; and delayed conduction velocity of peripheral nerves. For preoperative neurological assessment we compared the following among the three groups: the 10 s test whereby the myelopathy in the hand was quantified; sensory disturbance; deep tendon reflexes; Hoffmann's, Trömner's and Babinski's reflexes; and bladder dysfunction. There was no significant difference preoperatively in the 10 s test between the groups. Deep tendon reflexes were significantly decreased in group S. There were no significant differences in sensory disturbance and bladder dysfunction. Although Hoffmann's and Trömner's reflexes significantly disappeared in group S, there was no significant difference in positivity of Babinski's reflex between the groups. The 10 s test and Babinski's reflex are helpful for the diagnosis of cervical myelopathy in patients suffering from DM.
ISSN:1362-4393
1476-5624
DOI:10.1038/sc.2012.56