頚椎・頚髄疾患の症候学

Symptomatology of Disorders of the Cervical Spine

頚椎・頚髄疾患という分野では画像の恩恵は非常に大きいが，それでも症候の局在を決定するのが困難なことが脳疾患よりも多いように思われる。本稿では以下のようなやや新しい切り口で頚椎・頚髄の症候学を論じる。すなわち，頭痛・顔面痛，めまい，上位頚椎・頚髄病変による手の症候，上位と下位の狭間にあるC3〜C4の症候，術後C5麻痺，下位頚椎病変による運動麻痺，感覚障害における偽性局在症候，自律神経障害，一過性神経障害である。

Abstract

Although advances in neuroimaging have result in great improvement in the diagnosis of cervical spine and cord disorders, it is still more difficult to localize symptoms in the cervical spine and cord than in the brain. Here, I discuss the following relatively new aspects in cervical spine and cord symptomatology: Ⅰ. Headache and facial pain; Ⅱ. Vertigo and dizziness; Ⅲ. Peculiar hand symptoms due to high cervical spine and cord disorders; Ⅳ. Symptoms in the C3-C4 level; Ⅴ. Postoperative C5 palsy; Ⅵ. Peculiar weakness due to lower cervical spine diseases; Ⅶ. False localizing sensory signs; Ⅷ. Autonomic symptoms; and IX. Transient neurological deficits.