Monday, June 22, 2020

Six "camouflage" of cervical spondylosis

Pretend one: high blood pressure. Cervical spondylopathy is easily covered up by high blood pressure, and patients tend to pay more attention to high blood pressure, but in fact, bone stimulates the sympathetic nerve, causing cervical spondylosis to cause blood pressure to increase or decrease. Moreover, unlike purely hypertensive patients, some patients with cervical spondylosis are often accompanied by neck pain and numbness of the upper extremities.

Camouflage two: angina or pleurisy. The cervical spine hyperplasia presses the nerve roots of the sixth and seventh cervical vertebrae. In this case, the patient will feel pain in one side of the breast or pectoralis major muscle, and this pain location is too close to the heart, which is easy to be mistaken for angina. Or pleurisy.

Camouflage three: cerebral arteriosclerosis or cerebellar disease. Because the hyperplastic bone oppresses the vertebral artery, the patient will suddenly twist his head and lose his support during walking and fall, which is easy to be misdiagnosed as cerebral arteriosclerosis or cerebellar disease.

Camouflage four: esophageal cancer. Some patients may feel itchy and foreign body sensation in the pharynx, and then gradually develop dysphagia, which is mild to severe. Patients may suspect esophageal cancer. It is suggested that this situation can be ruled out by laryngoscope and gastroscope first, and then CT scan is used to diagnose cervical spondylosis.

Camouflage five: paralysis of the lower limbs or defecation disorder. Due to the compression and stimulation of the lateral bundle nerves of the vertebral body of the spinal cord, patients may have limb and bowel problems. Such as numbness on one limb, poor bowel movements, etc.

Camouflage six: visual impairment. The autonomic dysfunction caused by cervical spondylosis can cause the patient's vision loss, intermittent blurred vision, pain in one or both eyes, fear of light, tearing, reduced vision, etc., and sometimes neck pain.

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