Is neck pain a marker for something serious? Like myelopathy.

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Spinal cord Pub Date : 2024-10-14 DOI:10.1038/s41393-024-01041-1
Alisha W Sial, Stone Sima, Rajpal Narulla, Nashwa Najib, Mark Davies, Ashish D Diwan
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Abstract

Degenerative Cervical Myelopathy (DCM) is a chronic progressive condition of the cervical spine that leads to compression of the spinal cord. It is the most common cause of spinal cord dysfunction in adults, and it occurs due to age-related changes or genetically associated pathologies. DCM is a clinical and radiological diagnosis and presents with a spectrum of symptoms ranging from neck pain and stiffness to paralysis. While neck pain is prevalent amongst patients attending specialist clinics, its predictive value for DCM is limited. This paper focuses on elucidating the relationship between DCM and chronic neck pain, and we discuss the underlying aetiology and broader neurological implications in the context of the literature. The progression of DCM can be slow and insidious with symptoms worsening gradually over time. Neck pain should not be discounted in the evaluation of DCM.

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颈部疼痛是严重疾病的标志吗?比如脊髓病变。
颈椎退行性脊髓病(DCM)是一种慢性进行性颈椎病,会导致脊髓受压。它是导致成人脊髓功能障碍的最常见原因,其发生是由于与年龄相关的变化或与遗传相关的病变。DCM 是一种临床和放射学诊断,表现为从颈部疼痛、僵硬到瘫痪的一系列症状。虽然颈部疼痛在专科门诊就诊的患者中很普遍,但其对 DCM 的预测价值却很有限。本文重点阐明了 DCM 与慢性颈痛之间的关系,并结合文献讨论了其基本病因和更广泛的神经学影响。DCM 的进展缓慢而隐匿,症状会随着时间的推移逐渐恶化。在评估 DCM 时不应忽视颈痛。
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来源期刊
Spinal cord
Spinal cord 医学-临床神经学
CiteScore
4.50
自引率
9.10%
发文量
142
审稿时长
2 months
期刊介绍: Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews. Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.
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