Clinical Experience with the Objective Localization of the Lesion in Cervical Myelopathy

  • J. Schramm
Part of the Advances in Neurosurgery book series (NEURO, volume 8)


The diagnosis and the differential diagnosis of cervical myelopathy (CM) remains problematic (1, 2, 6, 10). It is not only problematic to differentiate vascular myelopathy from spondylogenic CM but also from the spinal type of multiple sclerosis and other spastic clinical pictures. Degenerative cervical spine alterations are quite common in older age and quite often multisegmental. Myelography often confirms the multisegmental vertebral changes without, however, clarifying which of the lesions is affecting the spinal cord. Utmost localizing accuracy as to the segment and the extent of spinal cord involvement is desirable when planning the operative procedure in such cases. The aim of this study is to evaluate the usefulness of somatosensory evoked potential recordings (SEP) in cases of cervical spondylotic diseases with and without myelopathy.


Cervical Spondylotic Myelopathy Sensory Evoke Potential Cervical Myelopathy Cervical Spondylosis Cervical Radiculopathy 
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© Springer-Verlag Berlin Heidelberg 1980

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  • J. Schramm

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