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[肌肉因子在脊髓空洞症疼痛型发病机制中的作用]

[Role of the muscle factor in the pathogenesis of painful forms of syringomyelia].

作者信息

Ivanichev G A, Khasanova R B, Aleeva L L

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(4):49-52.

PMID:7090666
Abstract

On the basis of examining the disease histories of patients with syringomyelia it was found that in 68.7% of the cases the disease began from algic manifestations. Under observation there were 48 patients with syringomyelia who complained of pains in the neck and the upper extremities. A connection between the algic syndrome and the pathology of the vertebral column cervical division was noted. It was local myopathosis which was found to be the principle factor causing the algic manifestations. It was discovered even in patients who had no cervical osteochondrosis. When the deep was discovered even in patients who had no cervical osteochondrosis. When the deep sensitivity was affected the myopathoses could not be determined. The myopathoses were characterized electromyographically by the presence of constant bioelectrical activity registered by needle electrodes. In the spectrum of motor unit activity shortened and prolonged potentials were revealed simultaneously. The regional circulatory changes in the upper extremities were found to be connected to a considerable extent with the intensity of the algic manifestations in local myopathoses. Segmental message is an effective means for eliminating the local myopathoses.

摘要

在对脊髓空洞症患者的病史进行检查的基础上发现,68.7%的病例疾病始于疼痛表现。接受观察的有48例脊髓空洞症患者,他们主诉颈部和上肢疼痛。注意到疼痛综合征与颈椎段脊柱病理之间存在关联。发现局部肌病是导致疼痛表现的主要因素。甚至在没有颈椎骨质增生的患者中也发现了这种情况。当发现深部感觉受影响时,无法确定肌病情况。肌病在肌电图上的特征是针电极记录到持续的生物电活动。在运动单位活动频谱中,同时出现了缩短和延长的电位。发现上肢的局部循环变化在很大程度上与局部肌病中疼痛表现的强度有关。节段性按摩是消除局部肌病的有效手段。

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