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颈椎病脊髓型与肌萎缩侧索硬化的症状、体征较为相似,两者相互误诊的报道较多。本文回顾性报道1例类似肌萎缩侧索硬化的颈椎病脊髓型的临床、CSF、EMG及MRI特征,并结合文献分析如下: 1 临床资料 患者,男,45岁。四肢无力、麻木及肌肉跳感20天余。20天来无明显诱因出现四肢无力、麻木,且逐渐加重,伴肌肉跳感,走路不稳,四肢活动欠灵活,无头痛、恶心呕吐,无畏寒、发热,无四肢抽搐、吞咽困难,无意识及大小便功能障碍,门诊行四肢肌电图检查示可疑神经元性损害,于2002年10
Cervical spondylosis and amyotrophic lateral sclerosis symptoms, signs are more similar, the two misdiagnosed more reports. This article retrospectively reported a case of amyotrophic lateral sclerosis cervical spinal cord clinical, CSF, EMG and MRI features, combined with the literature as follows: 1 clinical data, male, 45 years old. Limbs weakness, numbness and muscle jump more than 20 days. 20 days no obvious incentive to limb weakness, numbness, and gradually increased, with muscle hopping, walking instability, limb activity is not flexible, no headache, nausea and vomiting, no chills, fever, no limbs convulsions, dysphagia, unconsciousness and Urine stool dysfunction, outpatient extremity EMG examination showed suspicious neuronal damage, in 2002 10