Intermittent spinal cord rupture

Introduction Intermittent spinal cord breaks are asymptomatic when starting to walk. A certain distance (about 1-5 minutes) appears to be weak on one side or both sides of the lower limbs. Found in spinal arterial endarteritis, spinal cord dysplasia, spinal stenosis. Spinal cord lesions such as multiple sclerosis, syringomyelia, syphilis, spinal nerve roots such as radiculitis, nerve root compression, meningeal such as meningitis, spinal anesthesia, intervertebral such as lumbar disc herniation, spurs, osteitis, spine Slippage and so on.

Cause

Suffering from spinal arterial endarteritis, spinal cord dysplasia, spinal stenosis, etc. Spinal cord lesions such as multiple sclerosis, syringomyelia, syphilis, spinal nerve roots such as radiculitis, nerve root compression, meningeal such as meningitis, spinal anesthesia, intervertebral such as lumbar disc herniation, spurs, osteitis, spine Slippage and so on.

an examination

Related inspection

Spinal MRI examination CT examination posture and gait

Intermittent spinal cord breaks are asymptomatic when starting to walk. A certain distance (about 1-5 minutes) appears to be weak on one side or both sides of the lower limbs. Found in spinal arterial endarteritis, spinal cord dysplasia, spinal stenosis.

Differential diagnosis

1. Intermittent claudication: Intermittent claudication refers to the patient's walking from the beginning, or after a long journey (usually hundreds of meters), unilateral or bilateral back pain, leg weakness, even lower, but a little bit, but slightly After sitting or sitting down for a while, the symptoms can be quickly relieved or disappeared, and the patient can continue to walk. After a while, the above symptoms reappear. Because in this process, the limp appears intermittently, so it is called intermittent limp.

2, heel walking: humeral fractures are mainly characterized by swelling of the back of the foot, weight of the toe and walking with the heel.

3, lower limb towing gait: lower limb towing gait is a clinical manifestation of cortical spinal cord lesions in gait abnormalities.

4, gait instability: gait instability refers to the patient's walking is not stable, or see the movement is not flexible, the legs are wide when walking or can not walk straight when walking, suddenly left and right; or walking when the step is short, The two upper limbs do not swing back and forth. They are slow when they first walk, and they are getting faster and faster, and they are "sweeping gait."

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