Spinal nerve roots Yan

An overview of the disease by means of various causes of spinal nerve root inflammatory and degenerative diseases of customers, can invade and neck lesions, thoracic, lumbar, Sacral-one of the spinal nerve roots. Clinical cervical and thoracic nerve root most commonly lumbosacral nerve involvement, and back caused pain and low back pain. This section introduces cervical thoracic nerve root development of clinical manifestations and treatment points. Spinal nerve root causes of etiological factors range, subdural inside and outside of the nerve roots of etiological factors not entirely the same. Membrane of the nerve roots from Yan often infection, poisoning, nutrition metabolism disorders caused; Membrane of nerve root Yan often partial catch cold. Wetting (causing neurotrophic enemy vasospasm, ischemia, edema), and transverse muscle injury and inflammation caused. Films spinal nerve root lesions often than the more extensive and more for the bilateral; Outside of the membrane lesions were often more limited, and many of them were unilateral. Clinical manifestations cervical thoracic nerve root Yan onset in acute and subacute styles, speaking on one side or both sides of the Shoulder and Arm pain, numbness, weakness, pain often along the medial or lateral arm distal radiation, cough, and the solution is forced aggravating. These symptoms often catch cold, obviously tired, hot and rest after mitigation, Progressive checks can be found in the affected nerve root dominance within the region hypersensitivity (early), diminish or disappear (late); biceps and triceps tendon reflexes weakened or disappeared. musculo have mild atrophy; corresponding to the neck, paravertebral have tenderness. Meanwhile, small limbs have skin temperature and color changes, nutrition and sweat gland secretion barriers autonomic symptoms. Membrane of the spinal nerve roots disease in the acute phase can CSF protein, the cell mildly higher. Diagnosis and differential diagnosis based on the Shoulder and Arm obviously nerve root pain, and the corresponding neurological signs, you can often make a diagnosis. In addition to identifying causes of detail about the history, liver function should be carried out, ESR, glucose, CSF and EMG test, spinal X-ray. OK needed when necessary myelography, CT scan and other tests. And attention to the following disease. 1, cervical disease : symptoms and cervical thoracic nerve root Yan more similar. But generally more common in middle-aged and elderly people, they can have dizziness or spinal cord involvement performance. Tap on the head or neck from head to the pressure, can cause upper extremity pain aggravated (Spurling sign). Cervical X-ray or CT scan showed cervical bone hyperplasia, or intervertebral foramina narrow spur submerged and the inside Disc degeneration, and other changes. Cervical traction, and other treatment can alleviate the symptoms. 2, the cervical spinal cord tumors : slow onset, sexual aggravated early signs often more limited, radicular symptoms become more pronounced, lumbar puncture can show that the subarachnoid obstruction, increased CSF protein, often normal cells. Myelography see lesion contrast agent flow disruption and filling defect. 3, brachial plexus neuritis : more common in adults, is acute or subacute onset. Often in pain at the side of the supraclavicular fossa, or shoulder, gradually extended to the ipsilateral upper arm, forearm and hand, ulnar even more. Brachial plexus stem (supraclavicular Α??) tenderness, traction arm may induce or aggravate pain. 4, thoracic outlet syndrome : major from cervical rib, the former middle scalene muscle lesions and deformities rib or collarbone. Local mass oppression caused. Performance of nerve and vascular compression symptoms. Nerve compression of radioactive emerging limb pain. Subclavian artery compression hand appeared pale skin, hair cool, and even Raynaud's phenomenon. Limb-off but it encompasses outreach, the radial artery pulse weaken or even disappear. In addition, yet with syringomyelia, periarthritis of shoulder, biceps tenosynovitis, and other identification. Treatment is to eliminate the main causes of neurotrophic improve metabolism and promote the restoration of nerve function. 1, the cause of the treatment, control infection and diabetes. Second, drug therapy may choose to use prednisone 30 mg or dexamethasone 1.5 mg, 1 / days. Treatment varies illness, and the general three-four weeks for a course of treatment. Meanwhile the use of vitamin B and coenzyme Q10, the CDPC, and other drugs, to promote nerve repair and functional improvements. Can also use Dibazol, niacin, Effect of galanthamine, potassium iodide, to improve circulation and promote inflammation absorption. Pain obviously can use microphones triazine amide or phenytoin, and other treatment. In addition, physiotherapy, hot compress, massage is effective.