Clinical features and treatment of cervical spondylosis with dissociated motor loss in upper extremity
- VernacularTitle:分离性上肢运动障碍型颈椎病的临床特征及治疗
- Author:
Lixia CHEN
;
Guiru HUA
;
Liying CUI
;
Ye TIAN
- Publication Type:Journal Article
- Keywords:
Dissociated motor loss in upper extremity;
Cervical spondylosis;
Treatment
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2003;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical features and treatment of cervical spondylosis with dissociated motor loss in upper extremity. Methods Data analysis was done in 10 patients with cervical spondylosis with dissociated motor loss in upper extremity, in aspects of symptoms, sign, radiologic feature, electromyogram and treatment. Results There are 2 subtypes of cervical spondylosis with dissociated motor loss in upper extremity: Keegan and Non-Keegan types. The patients with Keegan type of cervical spondylosis manifested weakness and atrophy in the upper extremity, and no radicular pain was reported. The Non-Keegan type is in fact a combination of radicular and spinal insult in the cervical region. Our clinical practice showed that surgical operation was preferred to the conservative treatment for patients with this disease. Conclusion A well understanding of this disease is of great importance for avoiding mistakes in diagnosis and treatment of this disease.
