Symptoms and Physical Exam Findings Commonly Seen in Patients with Cervical Spondylotic Myelopathy
| Upper Extremity Findings | Lower Extremity Findings | Additional Findings |
|---|---|---|
| *Decreased hand dexterity | *Impairment of gait and/or falls | Lhermitte’s phenomenon |
| Lower motor neuron signs (muscle weakness, atrophy, fasciculation, hyporeflexia, hypotonia) | Upper motor neuron signs (weakness, hyperreflexia, hypertonia) | Incontinence |
| Change in pain, temperature, proprioception, dermatomal sensation | Change in pain, temperature, proprioception, dermatomal sensation | Neck pain |
| Motor deficits | Motor deficits | |
| Thenar atrophy | Babinski reflex | |
| Hoffman sign | Romberg test | |
| Inverted radial reflex | Sustained foot clonus | |
| Finger escape sign | ||
| Grip and release test | ||
| Hyperactive pectoralis reflex |
↵* Most frequently found upon initial presentation.