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表现为双侧上肢无力的脊髓型颈椎病

Cervical Myelopathy Presenting as Bilateral Upper Extremity Weakness.

作者信息

McInerney Sean, Keil Aaron, Kim Jin Suh

出版信息

J Orthop Sports Phys Ther. 2017 Sep;47(9):691. doi: 10.2519/jospt.2017.7287.

Abstract

A 57-year-old man with insidious onset of progressive bilateral upper extremity weakness was referred to physical therapy by his primary care physician. Following examination, the physical therapist referred the patient back to his primary care physician with a request for cervical magnetic resonance imaging (MRI) and neurology consultation. Cervical radiographs demonstrated multilevel degenerative changes, while cervical spine MRI revealed compressive myelopathy, significant spinal canal stenosis, and severe spondylosis J Orthop Sports Phys Ther 2017;47(9):691. doi:10.2519/jospt.2017.7287.

摘要

一名57岁男性,隐匿起病,双侧上肢进行性无力,其初级保健医生将他转诊至物理治疗科。检查后,物理治疗师将患者转回给其初级保健医生,要求进行颈椎磁共振成像(MRI)检查并咨询神经科。颈椎X线片显示多节段退变改变,而颈椎MRI显示存在压迫性脊髓病、明显的椎管狭窄和严重的脊柱关节病 《骨科与运动物理治疗杂志》2017年;47(9):691。doi:10.2519/jospt.2017.7287 。

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