Morosanu Cezar Octavian, Etim Gloria, Alalade Andrew Folusho
Department of Neurosurgery, Royal Preston Hospital, Preston, UK.
J Surg Case Rep. 2022 Aug 16;2022(8):rjac277. doi: 10.1093/jscr/rjac277. eCollection 2022 Aug.
Brachioradial pruritus (BRP) is a rare chronic neuropathy of the skin of the arms and forearms that presents with itching, burning or tingling, with no associated dermatological features. Sun exposure and cervical spine pathology have been described as causes for BRP; however, the exact aetiology is often unclear. Herein, we discuss the case of a 63-year-old female patient who presented with BRP with a C5-C6 distribution. Physical examination excluded skin conditions, thus magnetic resonance imaging was done and revealed a C5-C6 disc protrusion. Anterior cervical discectomy and fusion were performed leading to the resolution of symptoms. The case emphasizes the beneficial role of anterior cervical discectomy and fusion as a last resort in patients with refractory pruritus of discogenic cause.
肱桡肌瘙痒症（BRP）是一种罕见的慢性神经病变，累及手臂和前臂皮肤，表现为瘙痒、灼痛或刺痛，无相关皮肤学特征。日晒和颈椎病变被认为是BRP的病因；然而，确切病因往往不明。在此，我们讨论一例63岁女性患者，其BRP表现为C5 - C6分布。体格检查排除了皮肤疾病，因此进行了磁共振成像，结果显示C5 - C6椎间盘突出。行颈椎前路椎间盘切除融合术，症状得以缓解。该病例强调了颈椎前路椎间盘切除融合术作为盘源性难治性瘙痒患者的最后手段所起的有益作用。
