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钝痛:被描述为诸如灼痛、麻木,皮肤过度紧张或压迫感,发生于约40％的脊髓空洞症病人。钝痛趋向于起自皮肤,大多情况伴感觉过敏。虽然钝痛的病理生理还不明了,它似乎与感受伤害的传入神经和/或脊髓内丘系通路有关。类似的痛发生在脊髓外伤病人,已报道与别的脊髓病包括髓内肿瘤和多发硬化有关。 作者总结1987—1994年间经MRI发现的137例非瘤性各种脊髓空洞症症人。其中51例主诉钝痛,女39例,男12例,年龄15—62岁(平均41.7岁)。脊髓空洞症的起因包括ChiariⅠ畸形(27例),外伤(15例),颈间盘病/椎关节强硬(5例),基底压迫(3)例和交通性脑积水(1例)。
Dull Pain: Described as burning, numbness, excessive skin tension or pressure, occurs in about 40% of patients with syringomyelia. Dull pain tends to start from the skin, most of the time with sensory allergies. Although the pathophysiology of dull pain is not known, it appears to be related to the sensation of afferent and / or intraspinal medullary pathways. Similar pain occurs in patients with spinal cord injury and other myelopathy, including intramedullary tumors and multiple sclerosis, have been reported. The authors conclude 137 patients with various non-tumorous syringomyelia who were found by MRI during 1987-1994. Among them, 51 cases complained of dull pain, 39 were female and 12 were male, aged 15-62 (average 41.7 years). The causes of syringomyelia include Chiari I deformity (27 cases), trauma (15 cases), cervical disc disease / spondylosis (5 cases), base compression (3 cases) and traffic hydrocephalus (1 case).