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[急性和亚急性神经根性下肢及足部麻痹:临床症状、检查技术及神经根综合征的鉴别诊断]

[Acute and subacute leg and foot paralysis of radicular origin: clinical aspects, examination technique and differential diagnosis of root syndromes].

作者信息

Steinsiepe K F, Magun J G

机构信息

Klinik für Neurochirurgie, Kantonsspital, St. Gallen.

出版信息

Schweiz Rundsch Med Prax. 1990 Nov 6;79(45):1373-82.

PMID:2080391
Abstract

We describe symptoms and physical findings consistent with acute or subacute radicular lesions in the lower limb: radicular pain syndromes in the leg and the motor as well as sensory deficits of lumbar and sacral roots L2 to S1. We emphasize the importance of anterior thigh pain which is not sufficiently known, and we point out our neurological findings which do not correspond to descriptions in standard textbooks. Aids to the examination of these radicular syndromes are given, stressing the technique of examining motor signs. We also discuss the differential diagnosis to other, nonradicular syndromes and we present practical guidelines. Finally, surgical emergencies of practical importance are pointed out.

摘要

我们描述了与下肢急性或亚急性神经根病变相符的症状和体格检查结果

腿部的神经根性疼痛综合征以及腰、骶神经根L2至S1的运动和感觉功能障碍。我们强调了前大腿疼痛的重要性,这一点尚未得到充分认识,并且指出了我们的神经学检查结果与标准教科书中的描述不符之处。本文给出了这些神经根综合征的检查辅助方法,重点强调了运动体征的检查技巧。我们还讨论了与其他非神经根综合征的鉴别诊断,并给出了实用指南。最后,指出了具有实际重要性的外科急症。

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