Cervical spondylosis, with B12 deficiency a distant second. Osteophytic protrusions are epidemic in the
elderly, causing cervical cord impressions in one tenth of patients older than 70, often with no neck discomfort or radicular pain. Eventually, chronic cord compression (spinal stenosis) may lead to spasticity and hyperreflexia in the lower extremities, urinary urgency, and posterior column signs.
elderly, causing cervical cord impressions in one tenth of patients older than 70, often with no neck discomfort or radicular pain. Eventually, chronic cord compression (spinal stenosis) may lead to spasticity and hyperreflexia in the lower extremities, urinary urgency, and posterior column signs.
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