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[神经源性跛行与下肢动脉炎所致跛行]

[Neurogenic claudication and claudication by arteritis of the lower limbs].

作者信息

Rey A, Bacourt F, Djindjian M, Georges B

出版信息

Phlebologie. 1978 Oct-Dec;31(4):389-94.

PMID:217030
Abstract

Intermittent claudication of neurogenic origin can be traced to three basic causes: --either a chronic circulatory deficiency in the arteries leading to the spinal cord, whether these arteries be the site of an atheroma of the ostia, an inflammation or a loco-regional compression. In such cases, the claudication is painless which differentiates it from the arteritis claudication of the lower limbs. --or to a compression of the roots of the cauda equina and to a lesser degree of the spinal cord, through a narrow rachidian canal that is hereditary or acquired, and relative or absolute. --or finally to a sheathing peripheral neuropathy of the lower limbs. The two latter causes are accompanied by pain, and make it necessary to widen the classical notion of the intermittent claudication (Dejerine's non painful intermittent claudication of the spinal cord).

摘要

神经源性间歇性跛行可追溯到三个基本原因

——要么是通向脊髓的动脉存在慢性循环不足,这些动脉可能是开口处动脉粥样硬化、炎症或局部压迫的部位。在这种情况下,跛行是无痛的,这使其与下肢动脉炎跛行区分开来。——要么是马尾神经根受到压迫,在较小程度上脊髓也受到压迫,通过狭窄的椎管,这种椎管可能是遗传性的或后天获得的,相对的或绝对的。——要么最终是下肢周围神经鞘病变。后两种原因伴有疼痛,这使得有必要拓宽间歇性跛行的经典概念(德热里纳提出的脊髓无痛性间歇性跛行)。

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