病例报告

颈椎病误诊为脑梗死1例

  • 王云云 ,
  • 孙葳 ,
  • 黄一宁
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  • (北京大学第一医院神经内科,北京100034)

网络出版日期: 2015-10-18

Cervical spondylosis misdiagnosed as cerebral infarction: a case report

  • WANG Yun-yun ,
  • SUN Wei ,
  • HUANG Yi-ning
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  • (Department of Neurology, Peking University First Hospital, Beijing 100034, China)

Online published: 2015-10-18

摘要

颈椎病是威胁人类健康的常见病和多发病,尤其在长期坐位颈部保持不动的人群中高发。脊髓型颈椎病因其不多见且危害严重更应引起临床重视,部分患者临床表现类似脑梗死,常首诊于神经内科,从而导致误诊、误治,影响预后。现将北京大学第一医院神经内科诊治的1例颈椎病误诊为脑梗死病例总结报告如下。

关键词: 颈椎病; 脑梗死; 误诊

本文引用格式

王云云 , 孙葳 , 黄一宁 . 颈椎病误诊为脑梗死1例[J]. 北京大学学报(医学版), 2015 , 47(5) : 883 -884 . DOI: 10.3969/j.issn.1671-167X.2015.05.030

Abstract

Here we report a case of cervical spondylosis misdiagnosed as cerebral infarction. The patient was a 55-year-old man with a one-day history of weakness in his right extremities. Brain magnetic resonance imaging (MRI) showed no acute abnormality, cerevical MRI showed that cervical spondylisis, C4/5, C5/6 disc herniation, spinal canal stenosis and compression of the spinal cord. Then the patient was transferred to the Department of Orthopaedics and underwent surgical treatment of cervical spondylosis. Followed-up for six months, the weakness of his right extremities returned to normal.

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