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与胸椎椎体塌陷相关的胸神经根病

Thoracic radiculopathy related to collapsed thoracic vertebral bodies.

作者信息

Liveson J A

出版信息

J Neurol Neurosurg Psychiatry. 1984 Apr;47(4):404-6. doi: 10.1136/jnnp.47.4.404.

DOI:10.1136/jnnp.47.4.404
PMID:6726267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1027783/
Abstract

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.

摘要

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。

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1
Thoracic radiculopathy related to collapsed thoracic vertebral bodies.与胸椎椎体塌陷相关的胸神经根病
J Neurol Neurosurg Psychiatry. 1984 Apr;47(4):404-6. doi: 10.1136/jnnp.47.4.404.
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引用本文的文献

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Thoracic radiculopathy caused by ossification of the ligamentum flavum.黄韧带骨化导致的胸神经根病。
Ups J Med Sci. 2013 Mar;118(1):54-8. doi: 10.3109/03009734.2012.715598. Epub 2012 Nov 20.

本文引用的文献

1
Myopathy in Cushing's syndrome.库欣综合征中的肌病
J Neurol Neurosurg Psychiatry. 1959 Nov;22(4):314-9. doi: 10.1136/jnnp.22.4.314.
2
MYOPATHY WITH PRIMARY HYPERPARATHYROIDISM.伴有原发性甲状旁腺功能亢进的肌病
Neurology. 1965 Jan;15:64-8. doi: 10.1212/wnl.15.1.64.
3
WEAKNESS OF PROXIMAL LIMB MUSCLES, PROBABLY DUE TO MYOPATHY AFTER PARTIAL GASTRECTOMY. PRELIMINARY REPORT.
Acta Med Scand. 1964 Oct;176:493-6.
4
Hyperparathyroidism: report of a case in which parathyroid adenoma presented primarily with profound muscular weakness.甲状旁腺功能亢进症:一例以严重肌无力为主要表现的甲状旁腺腺瘤病例报告。
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The natural history of Cushing's syndrome.库欣综合征的自然病史。
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6
Management of acute unstable thoracolumbar (T-11-L-1) fractures with and without neurological deficit.伴有或不伴有神经功能缺损的急性不稳定型胸腰椎(T-11-L-1)骨折的处理
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Management of fractures of the thoracolumbar and lumbar spite.胸腰椎骨折的管理
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8
Myopathy, osteomalacia and hyperparathyroidism.
Brain. 1967 Sep;90(3):593-602. doi: 10.1093/brain/90.3.593.
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Corticosteroid myopathy.皮质类固醇肌病
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10
Creatine phosphokinase isozymes in muscles. Human fetus and patients.肌肉中的肌酸磷酸激酶同工酶。人类胎儿及患者。
Arch Neurol. 1969 Apr;20(4):422-9. doi: 10.1001/archneur.1969.00480100098014.