Differences between cervical myelopathy and cervical radiculopathy

Differences between cervical myelopathy and cervical radiculopathy

FeatureMyelopathyRadiculopathy
EtiologySpinal cord compressionNerve root compression
Neck painVariableVariable
Cranial nerveOccasionalNever
Sensory lossStocking-glove paresthesias/numbness (all limbs)Light touch/pinprick (upper limb dermatome)
Weakness (early)All limbs (diffuse)Upper limb myotome
Weakness (late)Spastic paraparesis, quadriparesisUpper limb myotome
Deep tendon reflexesUpper limbs (decreased), lower limbs (increased)Upper limb (decreased)
Pathologic reflexesBabinski’s sign, Hoffmann’s signNone
Lhermitte’s signOccasionalNever
Bladder disturbanceUrine retention, urine incontinenceNone
Spinal automaticityJumping legsNon
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