BRAIN and NERVE－神経研究の進歩73巻6号

2021年06月発行

特集 Lower Spine Neurology

脊椎脊髄疾患由来の間欠性跛行

著者： 福武敏夫¹

所属機関： ¹亀田メディカルセンター脳神経内科

ページ範囲：P.671 - P.683

文献概要

間欠性跛行は今日，単純に血行性（主に末梢性動脈疾患による）と神経性（主に腰部脊柱管狭窄症による）の2つに分類されている。しかし，脊髄血行の不全（脊髄症）による間欠性跛行が，稀であるが特異的なものとして1894年（J. Dejerine）以来，記述されてきている。それは今日では内因性（脊髄の血管病変）によるものだけでなく，外因性（頚胸髄の圧迫性疾患）病変によることが知られている。残念ながら，間欠性跛行の国際的でかつ学際的に統一された定義や用語，分類がないので，ここで分類私案を提案する。その後で，脊椎・脊髄疾患由来の間欠性跛行に焦点を当てて，疫学や症候，そして鑑別診断について述べる。

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