SciELO - Scientific Electronic Library Online

vol.29 issue2Noncommunicable stroke in a young adult with cerebral palsy carrying the homozygous variant MTHFR C677T genotypeRare presentation of primary antiphospholipid syndrome associated with hyperhomocysteinemia as a cause of recurrent ischemic stroke in young male author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Revista Ecuatoriana de Neurología

On-line version ISSN 2631-2581Print version ISSN 1019-8113


GAITAN-QUINTERO, Gustavo  and  MONTOYA-JARAMILLO, Mario. CERVICAL SPONDYLOTIC MYELOPATHY AS A STROKE MIMIC. Rev Ecuat Neurol [online]. 2020, vol.29, n.2, pp.107-109. ISSN 2631-2581.

Cervical spondylotic myelopathy (CSM) is the most common nontraumatic spinal cord condition in people over 55 years of age. This disorder is due to compression of the spinal cord by a stenotic cervical canal. A 55-year-old hypertensive patient with a clinical picture that simulated a stroke is described, due to a sudden onset of a right brachiocrural motor deficit, with elevated blood pressure levels in the range of hypertensive crisis. Hours later the patient presented the same motor deficit contralaterally: Computed tomography and magnetic resonance imaging of the brain showed no abnormality. The finding of atrophy in the interosseous muscles was striking. Cervical magnetic resonance imaging was performed showing a narrow spinal canal, with spinal cord hyperintensity in T2 sequences at levels C2 to C6. The most frequent causes of stroke mimics are tumors and metabolic toxic disorders. Spinal disorders represent 1.7% of all cases, CSM being a rare cause.

Keywords : Cervical spondylotic myelopathy; Stroke mimic; Spinal cord injury.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )