Unusual Painful Muscle Spasm in a Dialysis-Dependent Patient with Progressive Cervical Kyphosis
Unusual Painful Muscle Spasm in a Dialysis-Dependent Patient with Progressive Cervical Kyphosis
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进行性颈椎后凸的透析依赖患者异常疼痛性肌肉痉挛
DOI：
10.1155/2019/7062568
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发表时间：
2019
影响因子：
--
通讯作者：
Chikuda Hirotaka
中科院分区：
文献类型：
--
作者：
Tsunoda Daisuke;Iizuka Yoichi;Mieda Tokue;Iizuka Haku;Chikuda Hirotaka
我们在此报告一例因破坏性脊柱关节病 (DSA) 引起的脊髓型颈椎病，伴有不寻常的疼痛性肌肉痉挛。一名 51 岁男性因双手麻木和进行性步态障碍到我院就诊。该患者因脊髓型颈椎病接受了椎板成形术。手术后一年半，患者出现进行性颈椎后凸，痉挛加剧。他还开始遭受与肌肉痉挛相关的顽固性疼痛。血液分析显示 CK 显着升高。患者接受了二期环周减压融合术。修复手术后，他的症状改善，血清 CK 水平恢复正常。医生应警惕脊髓型颈椎病患者可能出现与肌肉过度痉挛相关的疼痛。
We herein report a case of cervical myelopathy due to destructive spondyloarthropathy (DSA) with an unusual painful muscle spasm. A 51‐year‐old man presented to our hospital due to numbness in the hands and progressive gait disturbance. The patient underwent laminoplasty for cervical myelopathy. One and a half years after surgery, the patient developed progressive kyphosis of the cervical spine and increasing spastisity. He also started to suffer from intractable pain associated with a muscle spasm. A blood analysis revealed marked CK elevation. The patient underwent 2‐stage circumferential decompression and fusion. After the revision procedure, his symptoms improved, and his serum CK level normalized. Physicians should be alert to the possibility of pain associated with an excessive muscle spasm in cervical myelopathy patients.