THE NEUROLOGIC WORKUP IN PATIENTS WITH CERVICAL-SPINE DISORDERS

被引:6
作者
DVORAK, J
JANSSEN, B
GROB, D
机构
[1] Department of Neurology, Spine Unit Zurich, Wilhelm Schulthess Hospital
[2] Department of Orthopaedic Surgery, Spine Unit Zurich, Wilhelm Schulthess Hospital
关键词
Cervicaj spine; Cervical myelopathy; Cervical spondylosis; Diagnosis; Multiple sclerosis;
D O I
10.1097/00007632-199015100-00007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Care must be exercised in interpreting the clinical and radiologic findings when assessing patients with cervical spondylosis and involvement of neural structures for surgery. If the clinical picture cannot logically be explained by the radiologic findings, further investigation is indicated to exclude a coexistent disorder. Investigations may include electrophysiologic tests, transcranial magnetic stimulation, cerebrospinal fluid (CSF) analysis, and magnetic resonance imaging (MRI). Only then can the indication for surgical intervention be properly determined. © Lippincott-Raven Publishers.
引用
收藏
页码:1017 / 1022
页数:6
相关论文
共 29 条
[1]  
Bleuler E., Lehrbuch Der Psychiatrie, 11, (1969)
[2]  
Brain W.R., Wilkinson M., The association of cervical spodylosis and multiple sclerosis, Brain, 80, pp. 456-478, (1957)
[3]  
Burgdorfer W., Barbour A.G., Hayes S.F., Et al., Lyme disease: A tick-born spirochaetosis?, Science, 216, (1982)
[4]  
Cabot A., Becker A., The cervical spine in rheumatoid arthritis, Clin Orthop, 3, pp. 130-140, (1978)
[5]  
Dvorak J., Dvorak V., Manual Medicine: Diagnostics, (1990)
[6]  
Dvorak J., Grab D., Baumgartner H., Et al., Functional evaluation of spinal cord by MRI in patients with rheumatoid arthritis and instability of upper cervical spine, Spine, 14, pp. 1057-1064, (1989)
[7]  
Dvorak J., Herdmann J., Janssen B., Theiler R., Grab D., Motor evoked potentials in patients with cervical spine disorders, Spine, 15, pp. 1013-1016, (1990)
[8]  
Dvorak J., Herdmann J., Theiler R., Normal values and clinical application in spinal cord diagnostics: Upper extremities, Spine, 15, pp. 155-160, (1990)
[9]  
Ebara S., Yonenobu K., Fujiwara K., Yamashita K., Ono K., Myelopathy hand characterized by muscle wasting. A different type of myelopathy hand in patients with cervical spondylosis, Spine, 13, pp. 785-791, (1988)
[10]  
Gschwend N., Scherer M., Munzinger U., Entziindliche Veranderungen der Wirbelsaule bei der chronischen Polyarthritis, Orthopade, 10, pp. 155-168, (1981)