Chaouat Y, Ginet C, Zecer B
Rev Rhum Mal Osteoartic. 1978 Feb;45(2):111-7.
On the basis of a series of 108 cases of cervicobrachial neuralgia a study was made of the clinical characteristics, circumstances of appearance, associated neurological signs, sequelae, relapses, and aetiologies of these observations. This series permits consideration of the aetiopathogenesis of cervicobrachial neuralgias of rheumatic origin from a new angle. The disco-osteophytic nodule does not appear to play the role classically attributed to it. Three forms are distinguished: idiopathic cervicobrachial neuralgia of transient occurrence with a cyclic duration and little tendency to recurrence and not related to concomitant arthrotic lesions; long-term cervicobrachial neuralgia lasting more than 20 weeks and always requiring a search for narrow canal and root anomaly -sometimes the form of onset of cervicarthrotic myelopathies; cervico brachialgia caused by cervicarthrosis seen after the age of 60 and consisting of projected pain rather than true cervicobrachial neuralgia, often recurrent.
基于108例颈臂神经痛病例，对这些观察结果的临床特征、发病情况、相关神经体征、后遗症、复发情况及病因进行了研究。该系列病例有助于从新的角度考虑风湿性颈臂神经痛的发病机制。椎间盘骨赘结节似乎并未发挥传统上认为的作用。区分出三种类型：短暂发作的特发性颈臂神经痛，病程呈周期性，复发倾向小，且与伴发的关节病变无关；持续超过20周的长期颈臂神经痛，总是需要排查椎管狭窄和神经根异常——有时是颈椎关节病性脊髓病的发病形式；60岁以后出现的由颈椎关节病引起的颈臂痛，表现为放射性疼痛而非真正的颈臂神经痛，常复发。
