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颈神经根病、卡压性神经病和胸廓出口综合征:如何鉴别?2004年3月脊柱与周围神经疾病联合分会会议特邀稿件。

Cervical radiculopathy, entrapment neuropathy, and thoracic outlet syndrome: how to differentiate? Invited submission from the Joint Section Meeting on Disorders of the Spine and Peripheral Nerves, March 2004.

作者信息

McGillicuddy John E

机构信息

Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan 48109, USA.

出版信息

J Neurosurg Spine. 2004 Sep;1(2):179-87. doi: 10.3171/spi.2004.1.2.0179.

Abstract

The common diagnoses of cervical radiculopathy and upper-extremity entrapment neuropathies can at times be difficult to differentiate. Additionally, thoracic outlet syndrome is often diagnosed when, in fact, the problem is radiculopathy or neuropathy. Another source of confusion, especially in older patients, is neuralgic amyotrophy, brachial plexitis, or the Parsonage-Turner syndrome. The differential diagnosis of unilateral arm pain, weakness, and/or sensory loss includes all of these problems. The clinical and electrodiagnostic features of each are discussed as an aid to distinguishing between these common and similar entities.

摘要

颈神经根病和上肢卡压性神经病的常见诊断有时可能难以区分。此外,胸廓出口综合征常常在实际上是神经根病或神经病的情况下被诊断出来。另一个造成混淆的原因,尤其是在老年患者中,是神经痛性肌萎缩、臂丛神经炎或帕森奇-特纳综合征。单侧手臂疼痛、无力和/或感觉丧失的鉴别诊断包括所有这些问题。文中将讨论每种病症的临床和电诊断特征,以帮助区分这些常见且相似的疾病。

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