Sharma R R, Pawar S J, Netalkar A S
The National Neurosurgical Centre, Khoula Hospital, Postal Code 116, Mina-al-Fahal, Muscat, Sultanate of Oman.
J Clin Neurosci. 2001 Jan;8(1):60-3. doi: 10.1054/jocn.2000.0751.
Compressive lesions of the suprascapular nerve produce weakness and atrophy of the supra- and infraspinatus muscles and a poorly defined aching pain along the posterior aspect of the shoulder joint and the adjacent scapula. Entrapment neuropathy of the suprascapular nerve is fairly common whereas tumorous lesions are rare; among the latter ganglion cysts are frequently seen. An isolated solitary schwannoma of the suprascapular nerve presenting with atypical neuralgic pain is exceptional. The location of a schwannoma under the firm deep cervical fascia in the posterior triangle of the neck is implicated in the genesis of neuralgic pains mimicking the suprascapular entrapment syndrome. One such case is reported with discussion of the relevant clinical features.
肩胛上神经受压性病变会导致冈上肌和冈下肌无力及萎缩，并在肩关节后方和相邻肩胛骨处出现界限不清的酸痛。肩胛上神经卡压性神经病相当常见，而肿瘤性病变则较为罕见；在后者中，神经节囊肿较为常见。孤立性肩胛上神经鞘瘤伴非典型神经痛的情况极为罕见。位于颈部后三角区坚实的颈深筋膜下方的神经鞘瘤的位置与模拟肩胛上神经卡压综合征的神经痛的发生有关。本文报告了这样一例病例，并对相关临床特征进行了讨论。
