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C7-T1单节段脊髓病的临床表现及诊断考量:病例系列

Clinical Manifestations and Diagnostic Considerations of C7-T1 Single-Level Myelopathy: A Case Series.

作者信息

Okamoto Kento, Kimura Ryota, Kasukawa Yuji, Hongo Michio, Kudo Daisuke, Kinoshita Hayato, Ono Yuichi, Miyakoshi Naohisa

机构信息

Orthopaedic Surgery, Akita University Graduate School of Medicine, Akita, JPN.

Physical Therapy, Akita University Graduate School of Medicine, Akita, JPN.

出版信息

Cureus. 2024 May 14;16(5):e60306. doi: 10.7759/cureus.60306. eCollection 2024 May.

Abstract

Cervical myelopathy is caused by compression of the cervical spinal cord for any reason. Cervical myelopathy most commonly affects the C5-6 level. However, C7-T1 single-level myelopathy is rare, and neurological findings may be atypical, making diagnosis difficult. We report three cases and discuss their clinical manifestations. Unlike other levels of cervical myelopathy, C7-T1 single-level myelopathy may present with gait disturbance without neurological deficits in the upper extremities. In addition, all three of our cases had different levels of spinal cord compression and locations of sensory deficits; at the C7-T1 level, the spinal cord compression may not correspond to the site of the sensory deficit. These features may help clinicians in the diagnosing of myelopathy.

摘要

颈椎脊髓病是由任何原因导致的颈脊髓受压引起的。颈椎脊髓病最常影响C5 - 6节段。然而,C7 - T1单节段脊髓病较为罕见,且神经学表现可能不典型,导致诊断困难。我们报告三例病例并讨论其临床表现。与其他节段的颈椎脊髓病不同,C7 - T1单节段脊髓病可能表现为步态障碍而无上肢神经功能缺损。此外,我们的三例病例均有不同程度的脊髓受压和感觉障碍部位;在C7 - T1节段,脊髓受压可能与感觉障碍部位不对应。这些特征可能有助于临床医生诊断脊髓病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c5/11176090/61334b3c7ed3/cureus-0016-00000060306-i01.jpg

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