musculoskeletal and connective tissue disorders
Cervical Spinal Stenosis
Diagnosis of Cervical Spinal Stenosis
Clinical evaluation Sometimes MRI, electrodiagnostic studies, or both Cervical spinal stenosis is suspected based on characteristic symptoms. Difficulty with fine motor skills in the upper extremities and weakness, ataxia, and spasticity in the lower extremities may be present. Deep tendon reflexes are hyperactive in the lower extremities but may be hypoactive in the upper extremities, with paresthesias and weakness in the upper extremities if there is coexisting nerve root impingement. MRI is done to determine the level of stenosis and cause. Electrodiagnostic studies help differentiate cervical spinal stenosis from other neurologic conditions. 