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因颈椎肿物出血导致的局灶性手部肌张力障碍:一例报告

Focal hand dystonia due to hemorrhage of the cervical spinal mass: a case report.

作者信息

Analay Pelin, Sevinç Hazal, Abacıoğlu Hilmi Berkan, Göçmen Rahşan, Kaymak Bayram, Özçakar Levent

机构信息

Department of Physical Medicine and Rehabilitation, Hacettepe University Medical School, Ankara, Turkey.

Department of Radiology, Hacettepe University Medical School, Ankara, Turkey.

出版信息

J Yeungnam Med Sci. 2025;42:10. doi: 10.12701/jyms.2024.01123. Epub 2024 Nov 26.

Abstract

Dystonia is a movement disorder characterized by intermittent or sustained muscle contractions that lead to abnormal postures and/or repetitive movements. Although dystonia is traditionally considered a disorder of the basal ganglia, it has been observed in association with lesions at various sites of the motor and sensory pathways, including spinal cord pathologies such as syringomyelia, tumors, and demyelinating lesions. However, there has been an increasing number of focal dystonia cases due to peripheral injuries, such as soft tissue trauma, mononeuropathy, plexopathy, and radiculopathy. In this report, to the best of our knowledge, we present the first case of a patient who developed focal hand dystonia due to cervical mass hemorrhage. We review the literature and discuss possible mechanisms.

摘要

肌张力障碍是一种运动障碍,其特征为间歇性或持续性肌肉收缩,导致异常姿势和/或重复性动作。尽管传统上认为肌张力障碍是基底神经节的疾病,但已观察到它与运动和感觉通路各个部位的病变有关,包括脊髓病变,如脊髓空洞症、肿瘤和脱髓鞘病变。然而,由于外周损伤,如软组织创伤、单神经病、臂丛神经病和神经根病,导致的局灶性肌张力障碍病例越来越多。在本报告中,据我们所知,我们介绍了首例因颈部肿块出血而发生局灶性手部肌张力障碍的患者。我们回顾了文献并讨论了可能的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a3d/11812073/fec43db77105/jyms-2024-01123f1.jpg

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