| Surgical Treatment in Cervical Myelopathy Combined with Flail Arm Syndrome. |
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Eun Seok Son, Jeong Geun Lim, Du Hwan Kim, Seok Jung Lee |
1Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea.
2Department of Neurology, Keimyung University School of Medicine, Daegu, Korea.
3Department of Rehabilitation Medicine, Keimyung University School of Medicine, Daegu, Korea. esson@dsmc.or.kr |
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| Abstract |
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Flail arm syndrome (FAS) is a variant of the amyotrophic lateral sclerosis also known as Lou Gehrig's disease. FAS is a kind of motor neuron disease that represents a bilateral proximal muscle wasting of upper extremities. Degenerative cervical spondylosis is a common cause of cervical myelopathy and radiculopathy. The coexistence of cervical spondylosis and motor neuron disease can cause difficulties in diagnosis and treatment. This case is a cervical spondylotic myelopathy associated with FAS who had undergone surgical treatment. After the operation, subjective symptoms of the patient was more aggravated and it may be owing to natural history of FAS. The surgical treatment must be made very carefully in cervical spondylotic myelopathy patient combined with motor neuron disease. |
| Key Words:
Amyotrophic lateral sclerosis, Flail arm syndrome, Myelopathy, Surgery |
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