Hirose G, Kadoya S
J Neurol Neurosurg Psychiatry. 1984 Aug;47(8):775-80. doi: 10.1136/jnnp.47.8.775.
The acute onset of symptoms of severe cervical radiculo-myelopathy in four patients with athetoid-dystonic cerebral palsy is reported. Neurological and radiological examination showed that the spondylotic changes of the cervical spine were responsible for new neurological deficits leading to the patients being bedridden. Dystonic-athetoid neck movements may cause excessive axial neck rotation as well as flexion and extension movements of the spine. These repetitive exaggerated movements may result in early degenerative changes of the vertebrae which may enhance the radiculo-myelopathy. The four patients were treated with an anterior discectomy with interbody fusion. They were bedridden pre-operatively but all have since been able to walk with or without a cane. It is concluded that early anterior decompression with interbody fusion is a treatment of choice for cervical spondylotic radiculo-myelopathy in association with athetoid cerebral palsy.
本文报告了4例手足徐动-张力障碍型脑瘫患者急性发生严重颈神经根脊髓病症状的情况。神经学和放射学检查显示，颈椎的脊椎关节强硬性改变是导致新的神经功能缺损并致使患者卧床不起的原因。张力障碍-手足徐动型颈部运动可能会导致颈部过度的轴向旋转以及脊柱的屈伸运动。这些重复性的夸张动作可能会导致椎体早期退变，进而加重神经根脊髓病。这4例患者接受了前路椎间盘切除术并进行椎间融合。他们术前均卧床不起，但此后均能够借助或不借助拐杖行走。结论是，早期前路减压并椎间融合是治疗与手足徐动型脑瘫相关的颈椎性神经根脊髓病的一种首选治疗方法。
