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[椎间盘源性腰神经根炎中脊柱疾病的亚临床形式]

[Subclinical forms of spinal disorders in discogenic lumbar radiculitis].

作者信息

Starobinets M Kh, Volkova L D

出版信息

Vopr Neirokhir. 1976 Nov-Dec(6):23-9.

PMID:1014524
Abstract

In patients with discogenic lumbar radiculitis with a unilateral affection of L5 or S1 root motor and central responses of the medial group of plantar muscles were recorded. In S1 root pathology the central response consisted in 25% of the cases in repeated antidromal discharges, which testified to an increased excitability of the corresponding alpha-motoneurons. In patients with L5-radiculitis a predominance of the reflex component in the response was typical. Since this phenomenon was lacking in combined L5 and S1 root lesions, it was interpreted as a sign of a decreasing function of the segmental inhibitory interneurons.

摘要

在患有椎间盘源性腰神经根炎且L5或S1神经根单侧受累的患者中,记录了足底内侧肌群的运动和中枢反应。在S1神经根病变中,25%的病例中枢反应表现为反复的逆行放电,这证明相应的α运动神经元兴奋性增加。在L5神经根炎患者中,反应中反射成分占优势是典型表现。由于在L5和S1神经根联合损伤中缺乏这种现象,它被解释为节段性抑制性中间神经元功能下降的标志。

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