Wainapel Stanley F
Department of Rehabilitation Medicine, Boston University School of Medicine, Boston, MA 02118 U.S.A.
Pain. 1984 Apr;18(4):345-349. doi: 10.1016/0304-3959(84)90046-0.
Two cases of reflex sympathetic dystrophy in the upper extremity of patients with traumatic cervical spinal cord injuries are reported. Both patients had very incomplete lesions with early neurological recovery, suggesting an underlying central cord syndrome. Although reflex sympathetic dystrophy is often seen following stroke, it has only rarely been documented in traumatic myelopathy, and it should be considered in the differential diagnosis of unexplained pain syndromes in the extremities of paraplegic or quadriplegic patients.
报告了两例创伤性颈脊髓损伤患者上肢反射性交感神经营养不良的病例。两名患者均为非常不完全性损伤且神经功能早期恢复,提示潜在的中央脊髓综合征。尽管反射性交感神经营养不良常在中风后出现,但在创伤性脊髓病中仅有罕见报道,在截瘫或四肢瘫患者肢体不明原因疼痛综合征的鉴别诊断中应考虑到该病。