What are the symptoms and indications for radiculopathy?

Spinal radiculopathy is more common in radiculoneuritis, nerve roots are compressed, etc., and the clinical symptoms of spinal radiculoneuritis are generally manifested as symmetrical weakness of the limbs, decreased sensation, glove-sock sleeve-like changes, and protein-cell separation in cerebrospinal fluid. Radiculoneuritis is an acute inflammatory peripheral neuropathy caused by an immune response, the specific ** has not been fully elucidated, patients can have a history of diarrhea, colds, vaccinations, etc. before the onset of the disease, and the condition gradually worsens after a few days. When a nerve root is compressed, it often causes severe limb pain and numbness.

For nerve root lesions, according to the nature of the lesion, the corresponding method should be adopted, such as spinal radiculoneuritis, first intravenous gamma globulin**; For compressive radiculopathy, surgery can be used to relieve the symptoms of nerve root compression.

The onset of spinal neuritis can be acute or slow, and there is often a history of infection, poisoning, nutritional and metabolic disorders, spinal diseases, paravertebral muscle trauma and inflammation, and transverse process trauma. Radiation numbness and pain within the posterior root innervation of the damaged nerve root, such as intercostal neuralgia due to thoracic radiculitis; cerothoracic radiculitis is ulnar and/or radial pain in the shoulder, neck and upper extremities; Lumbosacral radiculitis is manifested by pain from the lumbosacral region to the medial and/or lateral side of the lower extremities and the feet. Symptoms are often induced or aggravated by cold, cough, bowel movements, etc.

In the distribution area of the anterior root of the affected nerve roots, there are different degrees of lower motor neuron paralysis: muscle weakness, muscle atrophy, tendon reflexia loss or disappearance, etc. For example, cervicothoracic radiculitis symptoms mostly occur in the shoulder girdle and upper limbs; Symptoms of lumbosacral radiculitis are seen in the lower extremities.

Sacral nerve root damage is severe, and there is often atonic bladder and sexual dysfunction. Meningoradiculitis is called meningoradiculitis when the lesion involves the arachnoid membrane, and spinel-meningoradiculitis if it also affects the spinal cord, which can produce symptoms of spinal arachnoiditis. Signs and symptoms of the primary disease**.

Cervical radiculopathy is the most common in clinical practice, and patients often complain about it

1) Neck, shoulder and arm pain and finger numbness: pain is the main symptom of radicular cervical spondylosis. In the acute stage, the patient's head movement can cause pain in the neck, shoulder, and arm, or loose pain in the upper limbs, often accompanied by numbness in the fingers, which is heavier at night, affecting rest.

Patients with chronic diseases often experience neck or shoulder and back pain, and pain in the upper limbs or numbness in the fingertips.

2) Muscle strength of the upper limbs is weakened, and muscle atrophy is manifested as easy to fall off when the patient holds objects and movement disorders.

3) Neck stiffness: patients with cervical spondylosis often have symptoms of cervical haircuts, which are manifested as muscle tension on one or both sides of the back of the neck in the acute stage, and local tenderness.

The movement and sensation of the human body are innervated and conducted by nerves. When the spinal cord is injured, the nerves innervated below the level of the injured spinal cord are interrupted, and the disorder occurs. For example, the spinal cord is like a main power line or a main fuse, when the main power line is broken, all the electrical appliances and lights connected below will be out of power.

This is the case with spinal cord injuries, when a certain segment of the spinal cord is injured and the connection between the innervated area below the injury level and the brain center is broken, and various disorders occur. 1. The main symptoms are muscle motor control disorder and difficulty in movement, urine and urine control disorder, and sensory disorder. Some patients have abnormal pain and hallucinatory pain.

Patients with high injury may have dyspnea. Patients with complications, such as fractures, dislocations, and pressure ulcers, may have symptoms.

**。2. Signs of weakened or absent muscle strength, abnormal muscle tone (hypotonia, hypertensia, spasticity), abnormal tendon reflexes (no reflexes, weak reflexes, hyperreflexia), pathological reflexes (Hoffman's sign and Babinski's sign are positive), **paresthesia (no sensation, hypoesthesia, hyperesthesia), **damage or pressure ulcers, etc. High spinal cord injury can lead to impersonation of breathing and motor dyskinesia and autonomic reflexes.

3. The clinical syndrome of transverse injury is manifested as sensory and motor dysfunction below the level of injury. However, some incomplete injuries have specific manifestations, including: (1) Bundle syndrome

Common in cervical spinal cord vascular injury. Nerve involvement and dysfunction in the upper extremities is heavier than in the lower extremities. Patients may be able to walk but have partial or complete paralysis of the upper limbs.

Loss of proprioception and motor sensation in the ipsilateral limb of injury, loss of thermopain sensation in the contralateral side. (3) Anterior bundle syndrome: injury to the anterior part of the spinal cord, loss of movement and temperature pain sensation below the level of injury, and proprioception is present.

4) Posterior bundle syndrome: posterior spinal cord injury, loss of proprioception below the level of injury, while motor and warm pain sensation are present. (5) Bundle myeloids syndrome:

Predominantly a spinosacral conus injury, which causes loss of reflexes in the bladder, bowel, and lower extremities. Occasionally, the sacral reflex can be preserved. (6) Cauda equina syndrome:

Injury to the lumbosacral nerve root in the spinal canal, which causes loss of reflexes in the bladder, bowel, and lower extremities, is characteristic of peripheral nerve damage (flaccid paralysis).

There is no mechanical compression of the spinal cord and no anatomical damage. Another hypothesis is that the loss of spinal cord function is due to short-term pressure waves. A slow recovery process suggests resolution of reactive spinal cord edema.

Patients with this type may have hyperreflexia but no muscle spasms. Bent beat.

Neuromyelitis is a primary inflammatory demyelinating disease of the central nervous system that primarily affects the optic nerve and spinal cord. The symptoms are decreased vision, and some patients soon become blind, accompanied by intraorbital pain. Paralysis of both lower limbs, bilateral sensory impairment and urinary retention.

Some patients have brainstem involvement and may present with vertigo, nystagmus, intractable hiccups, vomiting, choking on water, and dysphagia. There are also patients with other systemic diseases, such as systemic lupus erythematosus, Sjögren's syndrome, myasthenia gravis, hyperthyroidism, etc.

Neuromyelitis is a very serious disease, especially acute ascending myelitis, which is one of the four major critical diseases of the nervous system.

If the level of neuromyelitis continues to rise, even affecting the upper cervical spinal cord or the lower part of the brainstem, the patient will develop central respiratory failure, which will seriously threaten the patient's life.

Usually neuromyelitis will cause the corresponding stage of low back pain, fever, the corresponding segment of the sensory level decreases, the muscle strength decreases, and even muscle paralysis, urinary and urinary dysfunction.

Neuromyelitis optica is an acute or subacute demyelinating lesion in which the optic nerve and spinal cord are simultaneously or sequentially affected. Neuromyelitis optica is an acute or subacute demyelinating lesion in which the optic nerve and spinal cord are simultaneously or sequentially affected. Neuromyelitis optica can cause eye pain, vision loss or blindness, and visual field defects.

Suggestions and suggestions: It is necessary to carry out reasonable anti-infection, as well as enhance immunity and strengthen nutritional support**.

It can lead to vision loss and in severe cases, blindness.