Liveson J A
J Neurol Neurosurg Psychiatry. 1984 Apr;47(4):404-6. doi: 10.1136/jnnp.47.4.404.
Three cases are presented of thoracic radiculopathy related to collapsed thoracic vertebral bodies. In all cases proximal weakness of the legs was present, leading to the diagnosis of myopathy in two cases. Sensory symptoms were present in two cases. In one, anterior thigh paresthesias lead to a diagnosis of meralgia paresthetica. This diagnostic entity must be remembered if appropriate corroborative tests are to be performed. In cases of trauma this diagnosis should be considered if thoracic vertebral collapse is present. Conversely, an evaluation of proximal weakness should include a review of thoracic radiographs for vertebral collapse, especially in the presence of sensory findings in the lower abdominal or proximal thigh region.
本文报告了3例与胸椎椎体塌陷相关的胸神经根病病例。所有病例均存在下肢近端无力,其中2例被诊断为肌病。2例出现感觉症状。1例患者前大腿感觉异常,诊断为感觉异常性股痛。若要进行适当的佐证检查,必须记住这一诊断实体。在创伤病例中,若存在胸椎椎体塌陷,应考虑这一诊断。相反,对近端无力的评估应包括检查胸椎X线片以排查椎体塌陷,尤其是在下腹部或大腿近端区域存在感觉异常时。