[由椎间盘间带宫性心痛引起的T1根性病例]
Kazuki Sogawa1, Tetsuo Ando1, Yasuo Kanamori2
1Department of Neurology, Kameda Medical Center.
Rinsho shinkeigaku = Clinical neurology
|September 25, 2024
概括
宫性心痛,胸痛的罕见原因,可以源于T1神经根由于椎间盘的压缩. 绑架肌肉 (abductor pollicis brevis) 的严重软弱是T1根基病变的关键指标.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 心脏病学 心脏病学
背景情况:
- 宫性心痛呈现为模仿心肌梗塞的胸痛,通常与宫性脊柱问题有关.
- 虽然通常与C6 / C7根源性病变有关,但T1根源性病变也可能导致类似的症状.
- 准确的诊断对于区分宫性心痛和心脏事件至关重要.
研究的目的:
- 为了突出T1根基病在宫性心痛的诊断意义.
- 强调T1根性病变的临床表现,包括特定的肌肉软弱和神经症状.
- 根据临床发现,根据临床发现,区分T1根源病与C8根源病.
主要方法:
- 一个65岁的男性的病例介绍,他有胸痛,神经缺陷和霍纳征兆.
- 诊断工作包括排除心肌梗塞.
- 宫脊椎MRI用于识别椎间板和神经根压缩.
主要成果:
- 患者出现左前胸部和背部疼痛,左臂麻木和手部软弱.
- 身体检查显示了左腹肌软弱,T1感觉障碍和霍纳的标志.
- 宫脊椎MRI证实T1/2的左侧椎间盘,压缩T1神经根.
结论:
- 由椎间盘引起的T1根性病变,可以表现为宫性心痛.
- 绑架肌肉的严重软弱是T1根基病的特征.
- 早期识别T1根细胞病变对于适当的管理和避免误诊至关重要.
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