Double lower limb weakness as initial symptom in 3 cases diagnosis and treatment of cervical spondylosis.docVIP

 PAGE \* MERGEFORMAT 3 Double lower limb weakness as initial symptom in 3 cases diagnosis and treatment of cervical spondylosis [Keywords:] cervical spondylosis; double lower limb weakness; the first symptom Cervical spondylosis is very common in clinical practice, mainly dizziness, neck discomfort, upper limb numbness, pain, in. But as the first symptoms of weakness of both lower extremities were small and easily misdiagnosed. I encountered 3 cases in clinical are reported below. 1 Case information Example 1: Male, 75 years old. Main cause of lower extremity weakness 1 month increased 2 days hospitalization. Were almost 1 month there was no obvious incentive to lower limb weakness, progressive increase, difficulty walking, outside the hospital by infarction treatment, his condition was no better. admission examination upper limbs 5, symmetrical tendon reflexes, upper limbs Hoffmann (+), lower extremity muscle strength grade 4, increased muscle tone, tendon hyperreflexia, lower extremity pathology sign (+), deep sensory disturbance. head CT no exception. cervical magnetic resonance show: C4 ~ 5, C5 ~ 6 disc was back prominent dural sac and spinal cord was compressed. admission given after dehydration, improve circulation, nutrition, neural therapy, the symptoms improved markedly. Example 2: Male, 75 years old, mainly due to weakness of both lower extremities 1 year, nearly 1 month increased numbness of both upper limbs with admission. Nearly 1 year in patients with a double lower limb weakness, increased tiredness, improved after the break. Multiple inspections head CT, lumbar spine CT, blood glucose and potassium were normal. admission occurred before 1 week upper limbs numbness, pain, shoot film showed cervical spondylosis, cervical magnetic resonance imaging showed C2 ~ 3, C3 ~ 4, C4 ~ 5, C5 ~ 6 disc, spinal stenosis, spinal cord compression. to give dehydration, blood circulation, physical therapy, the symptoms improved markedly. Example 3