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Eexternal Intervertebral Foramen’s Cervical Nerve Compression Syndrome

Wang Jinwu,Chen Desong,Fang Yousheng,et al.Department of Hand Surgery,Huashan Hospital,Shanghai Medical University,Shanghai 200040  
Objective:To study mechanism,diagnosis and treatment of the external intervertebral foramen’s cervical nerve compression syndrome.Methods:Detailed observation and analysis was conducted in 52 cases.All the cases had received conservative treatment.Resectin of scalenus anticus,medius and minimus and cervical nerve decompressions were undertaken in 15 cases.Results:Conservative treatment led to short-term alleviation of the symptoms.The result was far from satisfaction.Between six months and three and a half years’ follow up of the 15 surgically treated cases revealed complete elimination of the symptoms without relapse.The characteristics of the clinical entity were pain of the head,face,neck and shoulder;weakness of the involved upper limbs;hyposmia;hypogeusesthesia;no apparent history of trauma.The most obvious tenderness point was the posterior tubercle of the cervicle vertebral transverse process located at the posterior margin of sternoclaidomastoid muscle.Impairment of sensation was menifested as decreased sting at hand,face,neck,shoulder,and upper limb.Roentgenography showed hypertrophy of C3~C5 vertebrae in 41 cases and a narrowing of intervertebral space in 27.Conclusion:The etiology of external intervertebral foramen’s cervical nerve compression syndrome lies in the compression of cervical plexus,brachial plexus and cervical dorsal rami by the tendious decussating fibers of the scalenus anticus,medius and minimus and the posterior muscles of neck.
【CateGory Index】: R681.5
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