Notalgia paresthetica associated with cervical spinal stenosis and cervicothoracic disk disease at C4 through C7.
Notalgia paresthetica associated with cervical spinal stenosis and cervicothoracic disk disease at C4 through C7.
复制标题
与 C4 至 C7 颈椎管狭窄和颈胸椎间盘疾病相关的感觉异常痛。
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
Arash M. Saemi
中科院分区：
文献类型：
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作者：
Nili N Alai;H. Skinner;Siamak T Nabili;E. Jeffes;S. Shahrokni;Arash M. Saemi
感觉异常性背痛是一种常见的顽固性感觉神经病性综合征，以单侧肩胛下背部局部瘙痒为标志性症状。它通常是一种慢性不可治愈的条件与定期缓解和恶化。虽然皮肤综合征的病因可能是多因素的，但应评估其与潜在颈椎疾病的可能相关性，以获得适当的治疗。皮肤科、放射科、骨科和神经科的协作多专业评估可能适用于这种情况的主要管理。对于伴有颈椎疾病的NP，一线治疗可能包括非皮肤病学的非侵入性治疗，如脊柱推拿、物理治疗、按摩、颈椎牵引、颈椎肌肉强化、口服非甾体抗炎药和肌肉松弛剂。感觉异常性背痛实际上可能是潜在的退行性颈椎疾病的皮肤体征。我们报告一例颈椎管狭窄患者，直接对应的临床表现NP。
Notalgia paresthetica (NP) is a common refractory, sensory, neuropathic syndrome with the hallmark symptom of localized pruritus of the unilateral infrascapular back. It generally is a chronic noncurable condition with periodic remissions and exacerbations. While the dermatologic syndrome may be multifactorial in etiology, a possible association with underlying cervical spine disease should be evaluated for proper treatment. Collaborative multispecialty evaluation by dermatology, radiology, orthopedic surgery, and neurology may be indicated for primary management of this condition. First-line therapy for NP with associated cervical disease may include nondermatologic noninvasive treatments such as spinal manipulation, physical therapy, massage, cervical traction, cervical muscle strengthening, and oral nonsteroidal anti-inflammatory drugs and muscle relaxants. Notalgia paresthetica may in fact be a cutaneous sign of an underlying degenerative cervical spine disease. We report a case of a patient with cervical spinal stenosis that corresponded directly with the clinical findings of NP.