Antonov I P
Zh Nevropatol Psikhiatr Im S S Korsakova. 1980;80(4):490-4.
The paper deals with the modern pathogenetic concepts of vertebral osteochondrosis in the age aspect. It was demonstrated that most frequently vertebrogenic lesions of the peripheral nervous system appear in patients aged 30 to 50 years. The role of different pathogenetic mechanisms in the development of the disease (biochemical, autoimmune changes in the intravertebral discs, the state of the higher nervous acitivity, the vestibular apparatus, etc.) was investigated. Pathomorphological studies permitted to establish certain correlations between the intensity of the generative-dystrophic changes in the lumbar part of the vertebral column and the level of the blood supply. Vertebral osteochondrosis can be considered as a polyetiologic but monopathogenetic disease, the clinical signs of which depend upon different endogenous and exogenous factors. The clinical traits of vertebrogenic diseases of the peripheral nervous system in children and adolescents, as well as in patients of old age are described.
本文探讨了年龄因素对脊椎骨软骨病现代发病机制的影响。研究表明,外周神经系统的脊椎源性病变最常出现在30至50岁的患者中。研究了不同发病机制在疾病发展中的作用(椎间盘的生化、自身免疫变化、高级神经活动状态、前庭器官等)。病理形态学研究有助于确定脊柱腰椎部增生性营养不良变化的强度与血液供应水平之间的某些相关性。脊椎骨软骨病可被视为一种多病因但单发病机制的疾病,其临床症状取决于不同的内源性和外源性因素。文中描述了儿童、青少年以及老年患者外周神经系统脊椎源性疾病的临床特征。