A CLINICAL CASE OF CERVICAL SPONDYLYSIS IN A YOUNG PATIENT

Pts. 32 yr old male presented in ER with complain of severe burning pain, tingling sensation and numbness in right hand radiating towards right shoulder and neck region from 1 week. no previous history of any medical illness. MRI report attached showing CERVICAL SPONDYLYSIS GR.1. Please give your valuable suggestions about how to manage this pts further. Thank you🙏

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MRI report mentioned spinal cord involvement at C5-6 level.Ref the case to a neuroligist for a good neurological evaluation which is totally lacking in the presentation.Post the filma also. Further management according to the neuroligist exam findings.

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Disc protrusion at cervical region compression nerve root ESP rt side ,polyradiculopathy and cord compression myelopathy.To evaluate the neurolgical deficit if any of all four extremity.If sufficient defit .may require decompression.Take neurosurgeons advise.

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anything less than 12mm may need surgery..seems c5-6 neurosurgical needs assessment

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Need to evaluate the clinical neurological status of patient ie motor,, sensory n reflex n myelopathy status, need images to see in all plane

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Management depends on neurological examination

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