LaBan M M, Sanitate S S, Taylor R S
William Beaumont Hospital, Department of Physical Medicine and Rehabilitation, Royal Oak, MI 48073.
Am J Phys Med Rehabil. 1993 Dec;72(6):390-4.
The diagnosis of postpolio syndrome is based primarily on a thorough history supported by both clinical and laboratory examination. Similarly, the presence of an occult spinal stenosis may be suspected initially by a history of progressive lumbar or cervical radicular pain, as well as concomitant extremity weakness and/or myelopathic signs. Appropriate electrodiagnostic examinations, including somatosensory spinal-evoked potentials and electroneuromyography, as well as imaging studies, computer-assisted tomography scan, magnetic resonance imaging and/or myelography are all useful in confirming the clinical diagnosis of either cervical spinal stenosis or lumbar spinal stenosis in patients who also may have had a history of poliomyelitis. Four patients (three men and one woman) previously diagnosed as having postpolio syndrome were referred with predominate complaints of spinal and extremity pain as well as associated motor weakness. It was subsequently recognized that these patients, ranging in age from 45-65 yr, were actually presenting with symptomatic spinal stenosis. It was discovered that two patients had cervical spinal stenosis; the other two had lumbar spinal stenosis.
小儿麻痹后遗症的诊断主要基于详尽的病史，并辅以临床和实验室检查。同样，隐匿性椎管狭窄的存在最初可能通过进行性腰或颈神经根性疼痛病史，以及伴随的肢体无力和/或脊髓病体征来怀疑。适当的电诊断检查，包括体感脊髓诱发电位和肌电图，以及影像学检查、计算机断层扫描、磁共振成像和/或脊髓造影，对于确诊那些可能有小儿麻痹病史患者的颈椎管狭窄或腰椎管狭窄的临床诊断均很有用。四名先前被诊断为小儿麻痹后遗症的患者（三名男性和一名女性）因主要诉说脊柱和肢体疼痛以及相关的运动无力前来就诊。随后发现，这些年龄在45至65岁之间的患者实际上表现为有症状的椎管狭窄。发现两名患者有颈椎管狭窄；另外两名有腰椎管狭窄。
