肌萎缩侧索硬化症与脊髓型颈椎病的相互关系

目的　探讨肌萎缩侧索硬化症 (ALS)与脊髓型颈椎病 (CSM )的相互关系。方法　本文选择 4 2例按诊断标准确诊的ALS与CSM病例 ,系统的分析两者之间症状、体征、肌电图、CT与MRI等资料 ,进行对比。结果　ALS主要侵犯脑干和脊髓的运动神经元和椎体束 ,而脊髓型颈椎病以单纯脊髓受损 ,2者在临床上既有不同之处 ,也有不同的临床症状和体征。结论　ALS与CSM可同时并存 ,也可独立出现 ,鉴别诊断有一定困难。

Discussion on Correlation of Amyotrophic Lateral Sclerosis and Spinal Cervical Disease

Objective To discuss the correlation of amyotrophic lateral sclerosis (ALS) and spinal cervical disease (SCD). Methods 42 cases of ALS and CSD patient obtained the standard diagnosis were analyzed in clinical symptom and sign, EMG, CT and MRI with comparison. Results The motive neuron and spinal cord were involved in ALS patient. The spinal was injured in SCD. There were some common symptoms and signs with little difference. Conclusion The differential diagnosis might be difficult to take out due to their similar clinical symptoms and signs.