颈椎病所致半膈肌麻痹：一例报告
Hemidiaphragmatic Paralysis Due to Cervical Spondylosis: A Case Report.
作者信息
Manabe Hiroaki, Sakai Toshinori, Tezuka Fumitake, Yamashita Kazuta, Takata Yoichiro, Chikawa Takashi, Sairyo Koichi
机构信息
Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
出版信息
Spine Surg Relat Res. 2018 May 29;3(2):183-187. doi: 10.22603/ssrr.2018-0015. eCollection 2019 Apr 27.
INTRODUCTION
C4 radiculopathy due to cervical spondylosis has rarely been reported as a cause of hemidiaphragmatic paralysis.
CASE REPORT
A 70-year-old man presented with hemidiaphragmatic paralysis due to right C3-C4 foraminal stenosis. The diagnosis was made preoperatively from findings on plain chest radiographs, respiratory function tests, and electrophysiologic tests. All the patient's test results and symptoms improved immediately after surgical treatment for cervical spondylosis.
CONCLUSIONS
Although it may be difficult to make a correct diagnosis based only on radiological findings at the cervical spine, we should be aware of the existence of this entity and pay close attention to chest radiographs.
引言
因颈椎病导致的C4神经根病作为半侧膈肌麻痹的病因鲜有报道。
病例报告
一名70岁男性因右侧C3 - C4椎间孔狭窄出现半侧膈肌麻痹。术前通过胸部平片、呼吸功能测试和电生理测试结果做出诊断。该患者在接受颈椎病手术治疗后，所有检查结果和症状立即得到改善。
结论
尽管仅根据颈椎的影像学表现可能难以做出正确诊断，但我们应意识到这种情况的存在，并密切关注胸部平片。
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