Rishi Umeria, Oliver Mowforth, Munashe Veremu, Benjamin Davies, Mark Kotter
{"title":"Radiological Progression of Degenerative Cervical Myelopathy in a Clinically Stable Patient: Case Report.","authors":"Rishi Umeria, Oliver Mowforth, Munashe Veremu, Benjamin Davies, Mark Kotter","doi":"10.2196/48212","DOIUrl":null,"url":null,"abstract":"<p><p>Degenerative cervical myelopathy (DCM) is a common neurological condition, with disease progression that is both variable and difficult to predict. Here, we present a case of DCM in a gentleman in his late 60s with significant radiological disease progression without consequent change in clinical symptoms. The case serves as a reminder of an enduring medical aphorism that clinical history and examination should be prioritized above more complex data, such as imaging investigations. In addition, the case also highlights that guidelines should be contextualized within individual clinical circumstances.</p>","PeriodicalId":51757,"journal":{"name":"Interactive Journal of Medical Research","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240080/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Interactive Journal of Medical Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2196/48212","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
Degenerative cervical myelopathy (DCM) is a common neurological condition, with disease progression that is both variable and difficult to predict. Here, we present a case of DCM in a gentleman in his late 60s with significant radiological disease progression without consequent change in clinical symptoms. The case serves as a reminder of an enduring medical aphorism that clinical history and examination should be prioritized above more complex data, such as imaging investigations. In addition, the case also highlights that guidelines should be contextualized within individual clinical circumstances.