Neck and other muscle pains in autonomic failure: their association with orthostatic hypotension
Neck and other muscle pains in autonomic failure: their association with orthostatic hypotension
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DOI：
10.1177/014107689809100704
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发表时间：
1998-07-01
影响因子：
17.3
通讯作者：
Mathias, CJ
中科院分区：
文献类型：
--
作者：
Bleasdale-Barr, KM;Mathias, CJ
枕下和枕旁区的颈部疼痛（衣架型）常见于自主神经功能衰竭和直立性低血压患者。这种疼痛的频率，沿着小腿和小腿区域的疼痛，通过问卷调查在两个主要的原发性慢性自主神经功能衰竭组-纯自主神经功能衰竭（PAF）和多系统萎缩（MSA）中确定。与帕金森病、小脑变性和其他神经系统症状重叠但既无自主神经功能衰竭也无直立性低血压的疾病进行比较，93%的PAF患者、51%的MSA患者和38-47%的非自主神经组患者出现颈部疼痛。臀部疼痛在每组中的比例较小但相似（8-19%），如小腿疼痛（23-37%）。PAF和MSA患者的颈部疼痛与其他组不同，其缓解方式为坐着或平躺，并且与降低这些患者血压的因素相关。在PAF和MSA中，臀部疼痛与姿势相关;对于小腿疼痛，两组之间没有差异。颈部疼痛与体位性低血压的程度有关;在PAF患者中，体位性血压下降大于MSA，颈部疼痛的频率更高。
Neck pain in the suboccipital and paracervical region ('coathanger' configuration) is often reported by patients with autonomic failure and orthostatic hypotension. The frequency of this pain, along with pains in the buttock and calf regions, was determined by questionnaire in two major groups with primary chronic autonomic failure-pure autonomic failure (PAF) and multiple system atrophy (MSA). Comparisons were made with Parkinson's disease, cerebellar degeneration and other disorders in which neurological symptoms overlap but in which there was neither autonomic failure nor orthostatic hypotension.Neck pain was present in 93% of patients with PAF, 51% of patients with MSA and 38-47% of the non-autonomic groups. Buttock pain was present in smaller but similar proportions (8-19%) of each group, like calf pain (23-37%). Neck pain in PAF and MSA differed from that in the other groups in being relieved by sitting or lying flat and in being associated with factors that lower blood pressure in these patients. Buttock pain was posturally related in PAF and MSA; for calf pain there was no difference between groups. Neck pain was related to the degree of orthostatic hypotension; in PAF patients, whose postural blood-pressure fall was greater than that in MSA, there was a greater frequency of neck pain.