Sellman M S, Mayer R F
Department of Neurology, University of Maryland School of Medicine, Baltimore.
South Med J. 1988 Feb;81(2):199-201. doi: 10.1097/00007611-198802000-00014.
Thoracic nerve root dysfunction (TNRD) manifested as abdominal pain is an infrequently reported condition. We present data on six patients who had chronic intermittent thoracoabdominal pain originating in the back. Diabetes and osteoarthritis of the spine were the chief causes of these symptoms. The electromyogram in all patients showed changes consistent with an acute radiculopathy. All patients responded to anti-inflammatory therapy in combination with phenytoin, carbamazepine, amitriptyline, or local nerve block. TNRD is a condition that may be diagnosed earlier if clinical suspicion is increased, thus sparing patients excessive testing and surgery, and affording quicker relief.
表现为腹痛的胸神经根功能障碍（TNRD）是一种鲜有报道的病症。我们提供了6例患有源于背部的慢性间歇性胸腹疼痛患者的数据。糖尿病和脊柱骨关节炎是这些症状的主要病因。所有患者的肌电图均显示出与急性神经根病相符的变化。所有患者对抗炎治疗联合苯妥英、卡马西平、阿米替林或局部神经阻滞均有反应。如果提高临床怀疑度，TNRD这种病症可能会更早得到诊断，从而避免患者进行过度检查和手术，并能更快缓解症状。
