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颈椎病的神经学表现:体征、症状及病理生理学概述

Neurological manifestations of cervical spondylosis: an overview of signs, symptoms, and pathophysiology.

作者信息

Harrop James S, Hanna Amgad, Silva Marco T, Sharan Ashwini

机构信息

Department of Neurosurgery, Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA.

出版信息

Neurosurgery. 2007 Jan;60(1 Supp1 1):S14-20. doi: 10.1227/01.NEU.0000215380.71097.EC.

Abstract

The neurological manifestations of cervical spondylosis include symptomatic compression of the spinal cord (myelopathy), nerve roots (radiculopathy), or a combination of the two (myeloradiculopathy). The term myeloradiculopathy herein defines these often indistinct and inseparable entities. The pathophysiology of myeloradiculopathy is multifactorial in nature, and the natural history of untreated myeloradiculopathy is not clearly defined. We review the signs, symptoms, and clinical findings of cervical myelopathy, radiculopathy, and myeloradiculopathy. Standard grading techniques are also reviewed.

摘要

颈椎病的神经学表现包括脊髓(脊髓病)、神经根(神经根病)的症状性压迫,或两者的组合(脊髓神经根病)。本文中的脊髓神经根病这一术语定义了这些通常不明确且不可分割的实体。脊髓神经根病的病理生理学本质上是多因素的,未经治疗的脊髓神经根病的自然病程尚不清楚。我们回顾了脊髓型颈椎病、神经根型颈椎病和脊髓神经根型颈椎病的体征、症状及临床发现。还回顾了标准分级技术。

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