临床误诊误治2024，Vol.37Issue(11)：6-9,33,5.DOI:10.3969/j.issn.1002-3429.2024.11.002
寰枢关节半脱位误诊分析
Analysis of Misdiagnosis of Atlantoaxial Subluxation
摘要
Abstract
Objective To investigate the clinical characteristics and causes of misdiagnosis of atlantoaxial sublux-ation(AAS),and to summarize preventive measures.Methods The clinical data of 10 patients with AAS misdiagnosed and then treated from January 2022 to March 2023 were retrospectively analyzed.Results Ten patients presented with neck pain,upper limb radia-tion pain and numbness,headache,dizziness,and tinnitus.After cervical MRI,head CT,transcranial Doppler ultr sound(TCD),pure tone threshold test and other examinations,4 patients were misdiagnosed with cervical radiculopathy,3 patients with cervical headache,and 3 patients with Meniere's disease.Misdiagnosis lasted from 7 to 14 d.All the 10 patients were diagnosed with AAS by cervical X-ray and examination using open-mouth view of the odontoid,and were treated with in-termittent traction and manual reconstruction.At 3 months after treatment,the above symptoms were relieved or disappeared without recurrence.Conclusion The clinical manifestations of AAS are complex and non-specific,and it is more likely to be misdiagnosed.For clinicians,strengthening the understanding of the disease,comprehensive analysis of the condition,detailed examination,reasonable selection of examination items,and careful differential diagnosis are needed in order to reduce or avoid the occurrence of misdiag-nosis.关键词
寰枢关节半脱位/误诊/神经根型颈椎病/颈源性头痛/梅尼埃病/X线检查/鉴别诊断Key words
Atlantoaxial subluxation/Misdiagnosis/Cervical radiculopathy/Cervicogenic headache/Meniere's disease/X-ray examination/Differential diagnosis分类
医药卫生引用本文复制引用
李德成,任彦景,赵广义,王芳芳,张彦敏,高冕,牛苗苗..寰枢关节半脱位误诊分析[J].临床误诊误治,2024,37(11):6-9,33,5.基金项目
河北省中医药管理局科研计划项目(2022448) （2022448）
