SHOULDER HAND SYNDROME IN CERVICAL SPINAL-CORD INJURY

被引：8

作者：

AISEN, PS

AISEN, ML

机构：

[1] Department of Medicine, Mount Sinai Medical Center, New York, NY, 10029

[2] The Burke Rehabilitation Center, White Plains, NY, 10605

来源：

PARAPLEGIA | 1994年 / 32卷 / 09期

关键词：

SHOULDER-HAND SYNDROME; REFLEX SYMPATHETIC DYSTROPHY; QUADRIPLEGIA; SPINAL CORD INJURY;

D O I：

10.1038/sc.1994.93

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

To characterize the occurrence of shoulder-hand syndrome (SHS) complicating the rehabilitation of patients with cervical spinal cord injury, we reviewed the medical records of 43 consecutive patients admitted to the Burke Rehabilitation Center with cervical spinal cord injury, focusing on the clinical features of SHS: shoulder pain, hand/wrist pain, edema, vasomotor changes, trophic changes and osteoporosis on x-ray. Twenty-seven patients (63%) had three or more features of SHS. The number of features correlated with age (r = 0.495, p = 0.0007), but not with the presence of upper or lower more neuron findings in the arms, or with autonomic dysfunction. Twenty-three of 25 (92%) SHS patients with adequate follow up had satisfactory resolution of symptoms with conservative therapy (i.e. neither systemic corticosteroids nor stellate ganglion block), but only after a mean of 121 days (range 42-274 days).

引用

页码：588 / 592

页数：5

共 17 条

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