Unusual Clinical Presentations of Cervical or Lumbar Dorsal Ramus Syndromeopen access
- Authors
- Kim, S.J.; Ko, Myeong Jin; Lee, Y.S.; Park, Seung Won; Kim, Young Baeg; Chung, C.
- Issue Date
- Jun-2014
- Publisher
- 대한척추신경외과학회
- Keywords
- Spinal nerves; Low back pain; Neck pain; Paralysis; Urinary incontinence; Tremor
- Citation
- 대한척추신경외과학회지, v.11, no.2, pp 57 - 61
- Pages
- 5
- Journal Title
- 대한척추신경외과학회지
- Volume
- 11
- Number
- 2
- Start Page
- 57
- End Page
- 61
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/13361
- DOI
- 10.14245/kjs.2014.11.2.57
- ISSN
- 1738-2262
2093-6729
- Abstract
- Objective: Patients with cervical (CDRS) or lumbar dorsal ramus syndrome (LDRS) are characterized by neck or low back pain with referred pain to upper or lower extremities. However, we experienced some CDRS or LDRS patients with unusual motor or bladder symptoms. We analyzed and reviewed literatures on the unusual symptoms identified in patients with CDRS or LDRS.Methods: This study included patients with unusual symptoms and no disorders of spine and central nervous system, a total of 206 CDRS/LDRS patients over the past 3 years. We diagnosed by using double diagnostic blocks for medial branches of dorsal rami of cervical or lumbar spine with 1% lidocaine or 0.5% bupivacaine for each block with an interval of more than 1 week between the blocks. Greater than 80% reduction of the symptoms, including unusual symptoms, was considered as a positive response. The patients with a positive response were treated with radiofrequencyneurotomy.Results: The number of patients diagnosed with CDRS and LDRS was 86 and 120, respectively. Nine patients (10.5%) in the CDRS group had unusual symptoms, including 4 patients with motor weakness of the arm, 3 patients with tremors, and rotatory torticollis in 2 patients. Ten patients (8.3%) in the LDRS group showed unusual symptoms, including 7 patients with motor weakness of leg, 2 patients with leg tremor, and urinary incontinence in 1 patient. All the unusual symptoms combined with CDRS or LDRS were resolved after treatment.Conclusion: It seems that the clinical presentationssuch as motor weakness, tremor, urinary incontinence without any other etiologic origin need to be checked for unusual symptoms of CDRS or LDRS.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > College of Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/13361)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.