Polk J L, Maragos V A, Nicholas J J
Department of Physical Medicine and Rehabilitation, Rush Medical College, Chicago, IL.
Arch Phys Med Rehabil. 1992 Apr;73(4):389-92. doi: 10.1016/0003-9993(92)90016-p.
Previous reports have attributed the development of premature cervical spondylosis to movement disorders such as torticollis and athetosis. This case report describes the clinical, electromyographic, and radiographic findings in a 34-year-old man who developed a myelopathy and cervical radiculopathy superimposed on a chronic dystonia of his neck and left arm. Cervical myeloradiculopathy should be suspected in any patient with a chronic movement disorder of the hand, neck, or arms, who presents with neurologic deterioration. Early diagnosis will lead to treatment that may improve symptoms. Anterior cervical bony fusion appears to be the preferred surgical treatment in these patients.
先前的报告将过早发生的颈椎病归因于诸如斜颈和手足徐动症等运动障碍。本病例报告描述了一名34岁男性的临床、肌电图和影像学检查结果，该患者在颈部和左臂慢性肌张力障碍的基础上出现了脊髓病和神经根病。对于任何患有手部、颈部或手臂慢性运动障碍且出现神经功能恶化的患者，都应怀疑存在颈椎神经根脊髓病。早期诊断将有助于采取可能改善症状的治疗方法。前路颈椎融合术似乎是这些患者首选的手术治疗方式。
