Spinal Cord Dysfunction from Cervical Intervertebral Disk Disease

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Abstract
Examples (5) of cervical spondylosis which were treated by operation served as a basis for the analysis of clinical aspects. Varied sensory alterations were encountered in the absence of radicular findings. Examples of sensory dissociations, trunk and sacral sparing, Brown-Sequard type findings, indefinite sensory margins, perversion of thermal stimuli, alterations of sensation above the level of compression and unusual cervical dermatome patterns were noted. The site and nature of the compressing force could not be correlated with the type of pattern seen on the basis of simple compression. The patterns of sensory alteration must not be given too much emphasis in ascertaining the nature of the disease process. Once the cervical area of the spinal cord is suspected as the site of disease, complete investigation will aid in accurate diagnosis and rational therapy.

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