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The constellation of symptoms caused by craniocervical instability is known as "cervico-medullary syndrome" [4] and includes: [5] [6] [7] Anxiety disorder; Bobble-head doll syndrome, a sensation that the skull may fall off the cervical spine; Clumsiness and motor delay; Cognitive and memory decline; Double or blurred vision; Dysphagia, or the ...
Cervical spinal nerve C7 controls triceps and wrist extension. Cervical spinal nerve C8 helps control the hand. [18] The cervicocranial syndrome occurs when symptoms arise due to cervical vertebrae damage (misalignment, collapse, shift or disease, such as tumor) resulting in the improper functioning of the cervical spinal nerves.
Underlying problems (e.g. craniocervical junction abnormalities, postoperative scarring, spinal tumors) are corrected when possible. Surgical decompression of the foramen magnum and upper cervical cord is the only useful treatment, but surgery usually cannot reverse severe neurologic deterioration.
Paralysis due to pressure at the cervico-medullary junction may progress in a so-called "clockwise" fashion, affecting the right arm, then the right leg, then the left leg, and finally the left arm; or the opposite way around. [citation needed] [15] Papilledema on fundoscopic exam due to increased intracranial pressure; Pupillary dilation
Occipito-cervical junction This disorder may result from rheumatoid arthritis, causing the hypermobility of the connection between the neck and head, resulting in paralysis or pain. [ 6 ] Cerebrovascular disease Cerebrovascular disease is a type of cervical spine disorder that can cause tetraplegia .
Treatment greatly varies depending on the type of spinal cord tumors, goals of care, and prognosis. [5] The primary forms of treatment include surgical resection, radiotherapy, and chemotherapy. [5] Steroids (e.g. corticosteroids) [9] may be administered if there is evidence of spinal cord compression. These do not affect the tumor mass itself ...
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Medial medullary syndrome, also known as inferior alternating syndrome, hypoglossal alternating hemiplegia, lower alternating hemiplegia, [1] or Dejerine syndrome, [2] is a type of alternating hemiplegia characterized by a set of clinical features resulting from occlusion of the anterior spinal artery.