Deshayes P, Louvel J P
CHRU, service de rhumatologie, Bois-Guillaume.
Rev Prat. 1992 Mar 1;42(5):569-72.
The diagnosis of spinal stenosis can be strongly suspected when the following symptoms are present: limbs neuralgias with a poorly defined location, paresthesias in several dermatomas neurogenic intermittent claudication. Myelography coupled with scan yields the best information about morphology, levels of stenosis and narrowing factors, bone bridges ligaments and discal structures. If surgery is decided after failure of medical treatment to improve the patient's condition, the choice will be best guided by the myeloscan analysis.
当出现以下症状时,可高度怀疑存在椎管狭窄:部位不明确的肢体神经痛、多个皮节的感觉异常、神经源性间歇性跛行。脊髓造影结合扫描可提供有关形态、狭窄水平和狭窄因素、骨桥、韧带及椎间盘结构的最佳信息。如果在药物治疗未能改善患者病情后决定进行手术,脊髓扫描分析将为手术选择提供最佳指导。