Bouvier M
Service de Rhumatologie, Centre Hospitalier Lyon, Sud, Pierre-Bénite, France.
J Neuroradiol. 1992 Sep;19(3):146-8.
Common cervicobrachial neuralgia is less frequent than sciatica and its aetiological profile is more varied: men and women are equally affected, triggering factors or previous history are less often found and patients with anxiety or depression are relatively numerous. Clinically, signs of C7 lesion are present in half the patients. Acroparesthesias are frequent and may be the initial signs. Nocturnal pain is present in 50% of the cases. Signs of neurological deficit are rare, except for abolition of a reflex. The association of cervicobrachial neuralgia with tendinitis of the upper limb or algodystrophy of the shoulder is too frequent to be fortuitous. Left to itself, the syndrome usually lasts several months and sometimes one year. Recurrences are rare. The most frequent sequela is a painful neck.
常见的颈臂神经痛比坐骨神经痛少见，其病因也更为多样：男性和女性受影响的几率相同，触发因素或既往病史较少见，焦虑或抑郁患者相对较多。临床上，半数患者存在C7损伤体征。肢端感觉异常很常见，可能是最初的体征。50%的病例存在夜间疼痛。除反射消失外，神经功能缺损体征罕见。颈臂神经痛与上肢肌腱炎或肩部营养障碍性骨萎缩并存的情况过于常见，绝非偶然。该综合征若任其发展，通常会持续数月，有时长达一年。复发罕见。最常见的后遗症是颈部疼痛。
