Sudden onset of cervical spondylotic myelopathy during sleep: A case report

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Article describes the case of a 56-year-old man with acute onset motor-complete tetraplegia caused by cervical spondylotic myelopathy. The subject developed tetraplegia during a 1-hour nap, with no volitional control of his upper or lower limbs, impaired sensation below the clavicles, and increased muscle tone. Magnetic resonance imaging of the cervical spine revealed canal stenosis and increased T2 signal of the spinal cord, suggesting cord infarction caused by compression. Rehabilitation for this patient required the expertise of multiple disciplines, including respiratory, speech, physical, and occupational therapy.

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