Harwood S C, Honet J C
Department of Rehabilitation Medicine, Sinai Hospital of Detroit, MI 48235.
Arch Phys Med Rehabil. 1988 Jan;69(1):48-50.
Muscle enlargement and hypertrophy are rare findings in neurogenic lesions. The two in combination have been reported in cases of peripheral nerve lesions, polyneuropathy, and poliomyelitis. True and pseudo muscle hypertrophy are the two possible etiologies, whereas infiltration, stretch, or exercise of the muscle are the causative factors. We report two cases of unilateral calf enlargement, one occurring after surgery for S1 radiculopathy with associated cramping, and the other after poliomyelitis.
肌肉增大和肥大在神经源性病变中是罕见的发现。两者同时出现曾在周围神经病变、多发性神经病和脊髓灰质炎病例中被报道过。真性和假性肌肉肥大是两种可能的病因,而肌肉的浸润、拉伸或运动是致病因素。我们报告两例单侧小腿增大的病例,一例发生在S1神经根病手术后并伴有痉挛,另一例发生在脊髓灰质炎后。