节律性颈部肌肉痉挛和上肢肌肉肌阵挛性抽搐作为创伤性颈胸段脊髓空洞症的一种不常见首发表现：病例报告。

Rhythmic Neck Muscle Spasms and Upper Limb Muscle Myoclonic Jerks as an Unusual Initial Presentation of Posttraumatic Cervicothoracic Syringomyelia: A Case Report.

机构信息

Medical doctor, Department of Physical Medicine and Rehabilitation, Linkou Chang Gung memorial hospital, Taiwan.

Department of Physical Medicine and Rehabilitation, Linkou Chang Gung memorial hospital, Taiwan.

出版信息

PM R. 2018 Oct;10(10):1119-1121. doi: 10.1016/j.pmrj.2018.03.006. Epub 2018 Mar 14.

DOI:10.1016/j.pmrj.2018.03.006

PMID:29550415

Abstract

Posttraumatic syringomyelia with an initial presentation of involuntary movement is rare. We describe a 25-year-old patient who sustained complete traumatic spinal cord injury at the thoracic level and presented with rhythmic neck muscle spasms and upper limb muscle myoclonic jerks 1 month after trauma. Magnetic resonance imaging revealed syrinx formation between C3 and T1. Lumbar-peritoneal shunt and decompression were performed. The symptoms completely disappeared after surgery. This report highlights that rhythmic neck muscle spasms and upper limb muscle myoclonic jerks can be the initial and only manifestations of syringomyelia. LEVEL OF EVIDENCE: V.

摘要

创伤后脊髓空洞症以不随意运动为首发表现者少见。我们描述了 1 例 25 岁患者，其胸段完全性创伤性脊髓损伤，外伤后 1 个月出现颈部肌肉阵挛和上肢肌肉肌阵挛性抽搐。磁共振成像显示 C3 至 T1 之间形成了脊髓空洞。行腰椎-腹腔分流术和减压术。术后症状完全消失。本报告强调了颈部肌肉阵挛和上肢肌肉肌阵挛抽搐可能是脊髓空洞症的首发和唯一表现。证据等级：V。