<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2631-2581</journal-id>
<journal-title><![CDATA[Revista Ecuatoriana de Neurología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ecuat Neurol]]></abbrev-journal-title>
<issn>2631-2581</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Médica Ecuatoriana de Neurología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2631-25812020000200107</article-id>
<article-id pub-id-type="doi">10.46997/revecuatneurol29200107</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[MIELOPATÍA ESPONDILÓTICA CERVICAL COMO UN IMITADOR DE ACCIDENTE CEREBROVASCULAR.]]></article-title>
<article-title xml:lang="en"><![CDATA[CERVICAL SPONDYLOTIC MYELOPATHY AS A STROKE MIMIC.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaitan-Quintero]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montoya-Jaramillo]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Sinú Clínica Cartagena del Mar ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>107</fpage>
<lpage>109</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&amp;pid=S2631-25812020000200107&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_abstract&amp;pid=S2631-25812020000200107&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.senescyt.gob.ec/scielo.php?script=sci_pdf&amp;pid=S2631-25812020000200107&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La mielopatía espondilótica cervical (MEC) es la afección de la médula espinal no traumática más frecuente en mayores de 55 años. Este trastorno es debido a la compresión de la médula espinal por un canal cervical estenótico. Se describe un paciente hipertenso de 55 años con un cuadro clínico que simuló un accidente cerebrovascular, debido a una presentación súbita de un déficit motor braquiocrural derecho, con elevación de cifras tensionales en rango de crisis hipertensiva. Horas después presentó igual déficit motor contralateral. La tomografía computarizada y resonancia magnética cerebral no mostraron anormalidad. Fue llamativo el hallazgo de atrofia en los músculos interóseos. Se realizó resonancia magnética cervical que evidenció un canal estrecho, con hiperintensidad medular en secuencias T2 de niveles C2 a C6. Las causas más frecuentes de imitadores de ictus son los tumores y los trastornos tóxico metabólicos. Los trastornos medulares representan 1.7% de todos los casos, siendo la MEC una causa rara.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mielopatía espondilótica cervical]]></kwd>
<kwd lng="es"><![CDATA[Imitador de ictus]]></kwd>
<kwd lng="es"><![CDATA[Mielitis.]]></kwd>
<kwd lng="en"><![CDATA[Cervical spondylotic myelopathy]]></kwd>
<kwd lng="en"><![CDATA[Stroke mimic]]></kwd>
<kwd lng="en"><![CDATA[Spinal cord injury]]></kwd>
</kwd-group>
</article-meta>
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