UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 硬膜外脊髄圧迫の臨床的特徴と診断clinical features and diagnosis of neoplastic epidural spinal cord compression [show details]
… pathophysiology of compression of the thecal sac at the level of the cauda equina does not differ significantly from that of more rostral compression of the spinal cord itself, compression of the cauda equina …
2. ノンストレス検査および収縮ストレス検査nonstress test and contraction stress test [show details]
… of nonreactive test results . Changing maternal position does not increase reactivity as long as the woman is tested in a position that does not lead to hypotension from uterine compression of the great …
3. 頸部神経根障害の臨床的特徴および診断clinical features and diagnosis of cervical radiculopathy [show details]
… reflexes are a more objective test of nerve root function. Spurling maneuver (the neck compression test) and the shoulder abduction relief test have high specificity but… CT myelography has been the traditional "gold standard" for the diagnosis of foraminal compression and is also useful for patients with metallic implants that cause distortion of MRI .…
4. 下肢末梢神経症候群の概要overview of lower extremity peripheral nerve syndromes [show details]
… electrophysiologic testing for other purposes (eg, to look for polyneuropathy). As an example, peroneal motor conduction velocity slowing across the fibular neck segment may suggest extremely mild compression of the …
5. 小児期や思春期のアスリートにおける頸部の筋骨格損傷の概要overview of musculoskeletal neck injuries in the child or adolescent athlete [show details]
… The axial compression and Spurling test may be positive, exacerbating the patient neurologic symptoms. Although these tests are specific for radiculopathy,… addition, they may provide some clues to the presence of disc disease including disc space narrowing, foraminal narrowing, or osteophytes. MRI is the study of choice to evaluate cervical disc disease It is used …

English Journal

PMID 29630204

Accuracy of Clinical Tests in Detecting Disk Herniation and Nerve Root Compression in Subjects With Lumbar Radicular Symptoms.

Ekedahl H, Jönsson B, Annertz M, Frobell RB.
Archives of physical medicine and rehabilitation. 2018 04;99(4)726-735.
To investigate the accuracy of 3 commonly used neurodynamic tests (slump test, straight-leg raise [SLR] test, femoral neurodynamic test) and 2 clinical assessments to determine radiculopathy (radiculopathy I, 1 neurologic sign; radiculopathy II, 2 neurologic signs corresponding to 1 specific nerve r
PMID 29253501

Dynamic foraminal dimensions during neck extension and rotation in fusion and artificial disc replacement: an observational study.

Yeni YN, Baumer T, Oravec D, Basheer A, McDonald CP, Bey MJ, Bartol SW, Chang V.
The spine journal : official journal of the North American Spine Society. 2018 04;18(4)575-583.
Changes in the dimensions of the cervical neural foramina (CNF) are considered to be a key factor in nerve root compression and development of cervical radiculopathy. However, to what extent foraminal geometry differs between patients who underwent anterior cervical discectomy and fusion (ACDF) and
PMID 28882520

Japanese Journal

脊柱管内と椎間孔外に同時に存在した腰椎椎関板ヘルニアの一例

中村英一郎,鈴木勝己,肱岡昭彦,諫山智洋,大石陽介
整形外科と災害外科 43(2), 482-486, 1994
… A right femoral nerve stretch test was positive, and knee reflex was absent. … However, CTM at L4/5 level showed extensive foraminal and far lateral disk herniation. … At surgery, the two fragments of herniated disk were removed and nerve root compression was relieved. …
NAID 130001631994