Syringomyelia and cervical spondylosis

Syringomyelia is a multi occurred in chronic cervical thoracic spinal cord disease, and sometimes can be violated pons and the medulla oblongata, occur in young people. Often feel pain and temperature sensitivity separation, particularly temperature McGREGOR diminish or disappear even more prominent. PWC can, shoulders, upper and upper chest pain, numbness, or cold, ant-line or feel itching, and sometimes intense pain, a burning sensation or pain drilling nature. There also lower extremity spastic paralysis, sphincter dysfunction and blood circulation and neurotrophic obstacles, such as limb cyanosis, sweating or less Khan, dry skin, and nail deformation, such as the levy's Luis Horna. These symptoms and root it is sometimes difficult type of cervical spondylotic myelopathy of identification, but cervical spondylotic myelopathy often have the following characteristics help identify: ① onset age of small, mostly 20 to 30 years old, and more than cervical disease occurred in 4-year-old O, the ratio of men to women was 3:1. ② unilateral or bilateral upper extremity and the supremacy of the chest pain was consistency, the temperature feel the loss, and sensitivity and deep feeling no change, that is manifested as long gloves, is still half-full or is still segmental spinal separation of sensory dysfunction. And cervical spondylosis temperature, and more pain is not completely lost, the greater the temperature difference can feel the temperature. ③ often associated with congenital spinal deformity, such as the occipital bone fusion, the skull base Depression, cervical rib, such as spina bifida, are usually non-vertebral bone and degenerative changes in the performance of the intervertebral space. ④ lower extremities pyramidal signs appear later, Hoffman's levy more negative. ⑤ hand muscle atrophy obviously, and there earlier. ⑥ autonomic dysfunction, the vagus nerve dysfunction more, such as flustered distracted, Weizhang discomfort. ⑦ myelography unimpeded, without spinal stenosis, the disc after the sudden symptoms. ⑧ cervical lateral X-ray examination is often no abnormalities, and no spinal stenosis performance. Based on the above features plus cervical spondylosis comprehensive clinical manifestations, the difference between the two is more difficult.