Akhavan-Sigari R, Rohde V, Alaid A
Department of Neurosurgery, University Medical Center Göttingen, Georg-August-University Göttingen, Göttingen, Germany.
J Neurol Surg Rep. 2013 Dec;74(2):101-4. doi: 10.1055/s-0033-1349202. Epub 2013 Jul 12.
Purpose The purpose of this report is to describe the clinical course of a patient who had a primary complaint of isolated right lateral thigh pain 3 years prior that was nonresponsive to conservative measures. Hypoesthesia in the lateral side of the right forearm, deltoid and biceps, as well as triceps paresis, was also diagnosed. Results Immediately after surgery, the patient reported substantial improvement in his right thigh symptoms. The signs and symptoms associated with the right C6 and C7 radiculopathy did improve. Conclusion Although the presentation described in this case is somewhat unique, the eventual myelopathic signs and symptoms were not. It was these myelopathic signs and symptoms that led to cervical magnetic resonance imaging, the diagnosis of cervical cord compressive myelopathy, and surgical management.
目的 本报告旨在描述一名患者的临床病程，该患者3年前以孤立的右侧大腿外侧疼痛为主诉，对保守治疗无反应。同时还诊断出右侧前臂外侧、三角肌和肱二头肌感觉减退以及肱三头肌轻瘫。结果 术后患者立即报告其右大腿症状有显著改善。与右侧C6和C7神经根病相关的体征和症状确实有所改善。结论 尽管本病例中描述的表现有些独特，但最终的脊髓病体征和症状并非如此。正是这些脊髓病体征和症状导致了颈椎磁共振成像、颈髓压迫性脊髓病的诊断以及手术治疗。
