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Clinical difference between "proximal" and "distal" type of cervical spondylotic amyotrophy

, : Clinical difference between "proximal" and "distal" type of cervical spondylotic amyotrophy. Rinsho Shinkeigaku 35(2): 147-152

We studied 31 patients with cervical spondylotic amyotrophy. Weakness and atrophy without prominent sensory changes were started from the proximal muscles in 16 patients (proximal type), and from the distal muscles in 15 patients (distal type). In both types, the age at onset of neurological symptom ranged from thirties to sixties, and men were more frequently affected than women. Distal type patients often presented cold paresis and/or postural finger tremor, which occasionally was the initial symptom. Two patients of proximal type had muscular atrophy extended to the distal end. None of distal type patients had extension of atrophy to the proximal muscles during a long course of their illness. Most patients of proximal type had neurogenic changes on electromyography extended to the distal muscles. Neuroradiologically, proximal type patients had a cord atrophy at C4/5 intervertebral level, and distal type had cord atrophy at C5/6,6/7. We assume that the responsible lesion for the cervical spondylotic amyotrophy is in anterior horn at C5-T1 cord level for the proximal type, and at C7-T1 for the distal type. Abnormal venous circulation within the cord may cause the selective involvement of the gray matter.


PMID: 7781230

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Olesen, T.Bech.; Munk, C.; Christensen, J.; Andersen, K.Kaae.; Kjaer, S.K., 2014: Human papillomavirus prevalence among men in sub-Saharan Africa: a systematic review and meta-analysis. We performed a systematic review and meta-analysis to summarise the available data on the prevalence of human papillomavirus (HPV) among men in sub-Saharan Africa. PubMed and Embase were searched up to 10 March 2014. Random effects meta-analyses w...

Aumont, G.; Levieux, D.; Lamand, M.; Tressol, J.C., 1989: Iodine nutrition in ewes. 2. Effects of low to high iodine intake by ewes on the I content of biological fluids and plasma immunoglobulins G in newborn lambs. 1. In two experiments samples of blood and organs were taken from newborn and young lambs born to five groups of ewes that received different dietary iodine (l) levels. Dietary I contents (mg/kg dry matter [DM]) in pregnancy and lactation, respect...

Siebert, G., 1953: Expectation of an increase gonococcal resistance to penicillin. Medizinische Klinik 48(39): 1455-1456

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Browne, J.C.M.; Veall, N., 1953: The maternal placental blood flow in normotensive and hypertensive women. Journal of Obstetrics and Gynaecology of the British Empire 60(2): 141-147

Frost E.G. (leader); Cameron T.E. (leader); Martin Donna L. (leader), 1982: Field trip number 7; Comparison of Mesozoic tectonics with mid-Tertiary detachment faulting in the Colorado River area, California, Arizona, and Nevada. Pages 111-159 1982

Glaser P.H., 1983: A patterned fen on the north shore of lake superior minnesota usa. A patterned fen near Grand Marais, Minnesota, is relatively isolated from the other patterned peatlands in Minnesota and occupies an unusual physiographic position. Despite the close proximity of mineral ridges the central strings and flarks have...