II. Pathophysiology

  1. Hard disc lesion: Cervical Spondylosis (chronic) in older patients
  2. Pressure of posterior osteophytes at anterior cord
  3. Results in combined nerve root and cord symptoms

III. Symptoms

  1. Cervical Nerve root related symptoms (upper extremity)
    1. Cervical Disc Herniation symptoms in arms
  2. Cord related symptoms (lower extremity)
    1. Gait difficulty
    2. Leg weakness and spasticity

IV. Course

  1. Gradual onset at age 50 with slow progression

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