Monday, February 25, 2008

What are the cervical bone hyperplasia clinical manifestations

Cervical spine bone hyperplasia and cervical spondylosis is not the same thing. Cervical spine bone hyperplasia is a state, While cervical disease is disease; chronic cervical spine injury in the circumstances, there may be the cervical disc disease, ligament injuries, joint disorders, bone, so as to produce a series of clinical manifestations can be called cervical spondylosis. According to the proliferation of cervical neck nerve, vascular compression of the extent and location, can be divided into five types:
(1) nerve root type: Because of the proliferation of bone cervical nerve root compression led to a corresponding performance. The incidence rate of cervical spondylosis 60 percent. Diagnosis: ① age more than 40 to 60 years of age, more men than women. ② root with more typical symptoms: if the neck, shoulder, arm pain, numbness and wrist, fingers, and its scope and cervical spinal nerve domination of the region by consistent. ③ neck activities kinetic barriers, especially after the limited but it encompasses the rotation. ④ vertebral spinous process with tenderness, intervertebral foramen oppression brachial plexus traction test and test positive. ⑤ cervical vertebrae X-ray showed posterior edge of the joints and vertebral bone hook hyperplasia.
(2) Vertebroarterial: hyperplasia of oppression or stimulate bone vertebral artery caused cramps and vertebrobasilar insufficiency. About incidence of cervical spondylosis of 10 percent to 15 percent. Diagnosis: ① regular middle-aged and older patients with head and neck sites because of changes in dizziness, migraine, visual impairment, pronunciation obstacles, tinnitus, deafness, and cataplexy. ② incidence neck when patients often limited activities, evoked test positive spin neck. ③ cervical spine is oblique and lateral X-ray showed that hook vertebral joints with vertebral bone proliferation and pathological transposition.
(3) Spinal: multi-proliferation of bone for disc degeneration and neck into the spinal cord compression caused, or about 10 percent to 50 percent. Diagnosis: ① middle-aged and older patients, limb numbness,burning, pain, walking with "stamping on the cotton feel" physically unstable center of gravity and easy to fall. ② limb muscle tension increased, decreased muscle strength, tendon hyperreflexia, knee reflex weakened, a pathological reflex. ③ cervical vertebrae X-ray shows bone hyperplasia margin after cervical spinal stenosis, performed with obstruction phenomenon.
(4) esophageal type: front hyperplasia due to cervical bone oppression caused by the posterior wall of the esophagus. This type of rare. Diagnosis: ① middle-aged and older age. ② patients throat discomfort, foreign body sensation, dysphagia. ③ X-ray showed that the front vertebral bone hyperplasia.
(5) sympathetic type: hyperplasia of bone oppression on both sides of the cervical sympathetic. Fewer see this type. Diagnosis: ① middle-aged and older age. ② eyes cleft side of the small side, ranging from large pupil, as were sometimes unclear. Half of facial dry, and less sweating. ③ cervical X-ray shows bone hyperplasia like change.

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