PDF(Pubmed)
Abstract：
Cervical myelopathy is caused by compression of the cervical spinal cord for any reason. Cervical myelopathy most commonly affects the C5-6 level. However, C7-T1 single-level myelopathy is rare, and neurological findings may be atypical, making diagnosis difficult. We report three cases and discuss their clinical manifestations. Unlike other levels of cervical myelopathy, C7-T1 single-level myelopathy may present with gait disturbance without neurological deficits in the upper extremities. In addition, all three of our cases had different levels of spinal cord compression and locations of sensory deficits; at the C7-T1 level, the spinal cord compression may not correspond to the site of the sensory deficit. These features may help clinicians in the diagnosing of myelopathy.
摘要：
颈椎病是由于任何原因压迫颈脊髓引起的。脊髓型颈椎病最常影响C5-6水平。然而,C7-T1单级脊髓病很少见，和神经系统的发现可能是不典型的，使诊断变得困难。我们报告3例并讨论其临床表现。与其他级别的脊髓型颈椎病不同，C7-T1单级脊髓病可能表现为步态障碍，而上肢无神经功能缺损。此外,我们的三个病例都有不同程度的脊髓压迫和感觉缺陷的位置；在C7-T1水平，脊髓压迫可能不对应于感觉缺陷的部位。这些特征可能有助于临床医生诊断脊髓病。
