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Cervical spinal stenosis
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'''Cervical spinal stenosis''' is a narrowing of the spinal canal in the neck.<ref>{{Cite web | url = https://www.mayoclinic.org/diseases-conditions/spinal-stenosis/symptoms-causes/syc-20352961 | title = Spinal stenosis - Symptoms and causes | website = Mayo Clinic|language=en|access-date=2019-01-29}}</ref> Its symptoms can included pain, numbness, tingling, weakness and other symptoms seen in [[Cervical Medullary Syndrome|cervical medullary syndrome]]. ==Fibromyalgia== A study of 270 patients with [[fibromyalgia]] found that 46% had cervical spinal stenosis and 20% [[chiari malformation]].<ref>{{Cite journal | last = Heffez | first = Dan S. | last2 = Ross | first2 = Ruth E. | last3 = Shade-Zeldow | first3 = Yvonne | last4 = Kostas | first4 = Konstantinos | last5 = Shah | first5 = Sagar | last6 = Gottschalk | first6 = Robert | last7 = Elias | first7 = Dean A. | last8 = Shepard | first8 = Alan | last9 = Leurgans | first9 = Sue E. | date = 2004-04-09 | title = Clinical evidence for cervical myelopathy due to Chiari malformation and spinal stenosis in a non-randomized group of patients with the diagnosis of fibromyalgia | url = https://link.springer.com/article/10.1007/s00586-004-0672-x | journal = European Spine Journal|language=en | volume = 13 | issue = 6 | pages = 516β523|doi=10.1007/s00586-004-0672-x|issn=0940-6719|pmc=3476600|pmid=15083352}}</ref> A significant improvement in physical and mental well-being was found in patients with cervical stenosis who received surgery.<ref>{{Cite journal | last = Heffez | first = Dan S. | last2 = Ross | first2 = Ruth E. | last3 = Shade-Zeldow | first3 = Yvonne | last4 = Kostas | first4 = Konstantinos | last5 = Morrissey | first5 = Mary | last6 = Elias | first6 = Dean A. | last7 = Shepard | first7 = Alan | date = Sep 2007 | title = Treatment of cervical myelopathy in patients with the fibromyalgia syndrome: outcomes and implications |url =https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2200733/ | journal = European Spine Journal | volume = 16 | issue = 9 | pages = 1423β1433|doi=10.1007/s00586-007-0366-2|issn=0940-6719|pmc=2200733|pmid=17426987}}</ref> A second study found that 71% had cervical spinal cord compression.<ref name=":0">{{Cite journal | date = 2008-07-01 | title = Positional Cervical Spinal Cord Compression and Fibromyalgia: A Novel Comorbidity With Important Diagnostic and Treatment Implications |url =https://www.sciencedirect.com/science/article/pii/S1526590008004379 | journal = The Journal of Pain|language=en | volume = 9 | issue = 7 | pages = 613β622|doi=10.1016/j.jpain.2008.01.339|issn=1526-5900}}</ref> There are some cases of cervical stenosis that may not be apparent when the neck is in the neutral position, but may be quite severe in extension.<ref>{{Cite journal | last = Zeitoun | first = Delphine | last2 = Hajj | first2 = Firass El | last3 = Sariali | first3 = Elhadi | last4 = CatonnΓ©| first4 = Yves | last5 = Pascal-Moussellard | first5 = Hugues | date = 2015-04-01 | title = Evaluation of spinal cord compression and hyperintense intramedullary lesions on T2-weighted sequences in patients with cervical spondylotic myelopathy using flexion-extension MRI protocol | url = https://www.thespinejournalonline.com/article/S1529-9430(14)01771-9/abstract | journal = The Spine Journal|language=English | volume = 15 | issue = 4 | pages = 668β674|doi=10.1016/j.spinee.2014.12.001|issn=1529-9430|pmid=25485484}}</ref> Andrew Holman describes these cases as "positional cervical spinal cord compression." He argues that some symptoms of fibromyalgia may be an inflammatory response to intermittent cord irritation which may not be severe enough to cause more overt symptoms.<ref name=":0" /> ==ME/CFS== A 2018 case study published by [[Peter Rowe]] found marked post-operative improvement of symptoms in three patients with severe [[myalgic encephalomyelitis]], [[orthostatic intolerance]] and cervical spinal stenosis.<ref>{{Cite journal | last = Rowe | first = Peter C. | last2 = Marden | first2 = Colleen L. | last3 = Heinlein | first3 = Scott | last4 = Edwards | first4 = Charles C. | date = 2018-02-02 | title = Improvement of severe myalgic encephalomyelitis/chronic fatigue syndrome symptoms following surgical treatment of cervical spinal stenosis |url =https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5796598/ | journal = Journal of Translational Medicine | volume = 16|doi=10.1186/s12967-018-1397-7|issn=1479-5876|pmc=5796598|pmid=29391028}}</ref> == See also == * [[Craniocervical instability]] == References == {{reflist}} [[Category:Diagnoses]] [[Category:Potential comorbidities]] [[Category:Musculoskeletal diseases and disorders]]
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