Atypical Proximal Cervical Spondylotic Amyotrophy: Case Report Demonstrating Clinical/Imaging Discrepancy
The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression, which is subject to misdiagnosis and missed diagnosis. CSA is the rare form of cervical spondylosis, which is characterized by severe muscle atro...
Saved in:
| Published in | International journal of general medicine Vol. 13; pp. 1367 - 1372 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New Zealand
Dove Medical Press Limited
01.01.2020
Taylor & Francis Ltd Dove Dove Medical Press |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1178-7074 1178-7074 |
| DOI | 10.2147/IJGM.S288588 |
Cover
| Abstract | The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression, which is subject to misdiagnosis and missed diagnosis.
CSA is the rare form of cervical spondylosis, which is characterized by severe muscle atrophy in the upper extremities. It can be classified in the proximal subtype and the distal subtype. The etiology, pathophysiology and treatment of CSA are still controversial.
A rare case of atypical proximal CSA, who presented with left shoulder and arm weakness, but cervical magnetic resonance imaging (MRI) showed large right paracentral disc herniation in the C4-5 level. Twelve weeks after undergoing anterior cervical discectomy and fusion technique in C4-5 level, the patient's symptoms obviously recovered.
The opposite sides between disc herniation and clinical symptoms of upper extremity may be attributed to C5 ventral rootlet becoming stretched caused by spinal cord rotation or shift to the opposite side. |
|---|---|
| AbstractList | Purpose: The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression, which is subject to misdiagnosis and missed diagnosis. Background: CSA is the rare form of cervical spondylosis, which is characterized by severe muscle atrophy in the upper extremities. It can be classified in the proximal subtype and the distal subtype. The etiology, pathophysiology and treatment of CSA are still controversial. Methods: A rare case of atypical proximal CSA, who presented with left shoulder and arm weakness, but cervical magnetic resonance imaging (MRI) showed large right paracentral disc herniation in the C4-5 level. Twelve weeks after undergoing anterior cervical discectomy and fusion technique in C4-5 level, the patient's symptoms obviously recovered. Conclusion: The opposite sides between disc herniation and clinical symptoms of upper extremity may be attributed to C5 ventral rootlet becoming stretched caused by spinal cord rotation or shift to the opposite side. Keywords: cervical spondylotic amyotrophy, muscle atrophy, anterior decompression Purpose: The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression, which is subject to misdiagnosis and missed diagnosis. Background: CSA is the rare form of cervical spondylosis, which is characterized by severe muscle atrophy in the upper extremities. It can be classified in the proximal subtype and the distal subtype. The etiology, pathophysiology and treatment of CSA are still controversial. Methods: A rare case of atypical proximal CSA, who presented with left shoulder and arm weakness, but cervical magnetic resonance imaging (MRI) showed large right paracentral disc herniation in the C4-5 level. Twelve weeks after undergoing anterior cervical discectomy and fusion technique in C4-5 level, the patient’s symptoms obviously recovered. Conclusion: The opposite sides between disc herniation and clinical symptoms of upper extremity may be attributed to C5 ventral rootlet becoming stretched caused by spinal cord rotation or shift to the opposite side. The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression, which is subject to misdiagnosis and missed diagnosis.PURPOSEThe aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression, which is subject to misdiagnosis and missed diagnosis.CSA is the rare form of cervical spondylosis, which is characterized by severe muscle atrophy in the upper extremities. It can be classified in the proximal subtype and the distal subtype. The etiology, pathophysiology and treatment of CSA are still controversial.BACKGROUNDCSA is the rare form of cervical spondylosis, which is characterized by severe muscle atrophy in the upper extremities. It can be classified in the proximal subtype and the distal subtype. The etiology, pathophysiology and treatment of CSA are still controversial.A rare case of atypical proximal CSA, who presented with left shoulder and arm weakness, but cervical magnetic resonance imaging (MRI) showed large right paracentral disc herniation in the C4-5 level. Twelve weeks after undergoing anterior cervical discectomy and fusion technique in C4-5 level, the patient's symptoms obviously recovered.METHODSA rare case of atypical proximal CSA, who presented with left shoulder and arm weakness, but cervical magnetic resonance imaging (MRI) showed large right paracentral disc herniation in the C4-5 level. Twelve weeks after undergoing anterior cervical discectomy and fusion technique in C4-5 level, the patient's symptoms obviously recovered.The opposite sides between disc herniation and clinical symptoms of upper extremity may be attributed to C5 ventral rootlet becoming stretched caused by spinal cord rotation or shift to the opposite side.CONCLUSIONThe opposite sides between disc herniation and clinical symptoms of upper extremity may be attributed to C5 ventral rootlet becoming stretched caused by spinal cord rotation or shift to the opposite side. Shitong Feng,* Zihan Fan,* Yong Yang, Qi Fei, Xiang Li Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, People's Republic of China*These authors contributed equally to this workCorrespondence: Xiang Li; Yong YangDepartment of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, People's Republic of ChinaTel +86-10-63138353; +86-13641225060Fax +86-10-83911029Email lixiang@ccmu.edu.cn; spineyang@126.comPurpose: The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression, which is subject to misdiagnosis and missed diagnosis.Background: CSA is the rare form of cervical spondylosis, which is characterized by severe muscle atrophy in the upper extremities. It can be classified in the proximal subtype and the distal subtype. The etiology, pathophysiology and treatment of CSA are still controversial.Methods: A rare case of atypical proximal CSA, who presented with left shoulder and arm weakness, but cervical magnetic resonance imaging (MRI) showed large right paracentral disc herniation in the C4-5 level. Twelve weeks after undergoing anterior cervical discectomy and fusion technique in C4-5 level, the patient's symptoms obviously recovered.Conclusion: The opposite sides between disc herniation and clinical symptoms of upper extremity may be attributed to C5 ventral rootlet becoming stretched caused by spinal cord rotation or shift to the opposite side.Keywords: cervical spondylotic amyotrophy, muscle atrophy, anterior decompression The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression, which is subject to misdiagnosis and missed diagnosis. CSA is the rare form of cervical spondylosis, which is characterized by severe muscle atrophy in the upper extremities. It can be classified in the proximal subtype and the distal subtype. The etiology, pathophysiology and treatment of CSA are still controversial. A rare case of atypical proximal CSA, who presented with left shoulder and arm weakness, but cervical magnetic resonance imaging (MRI) showed large right paracentral disc herniation in the C4-5 level. Twelve weeks after undergoing anterior cervical discectomy and fusion technique in C4-5 level, the patient's symptoms obviously recovered. The opposite sides between disc herniation and clinical symptoms of upper extremity may be attributed to C5 ventral rootlet becoming stretched caused by spinal cord rotation or shift to the opposite side. |
| Audience | Academic |
| Author | Fan, Zihan Li, Xiang Feng, Shitong Yang, Yong Fei, Qi |
| Author_xml | – sequence: 1 givenname: Shitong surname: Feng fullname: Feng, Shitong – sequence: 2 givenname: Zihan surname: Fan fullname: Fan, Zihan – sequence: 3 givenname: Yong surname: Yang fullname: Yang, Yong – sequence: 4 givenname: Qi orcidid: 0000-0001-9753-2692 surname: Fei fullname: Fei, Qi – sequence: 5 givenname: Xiang surname: Li fullname: Li, Xiang |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33293854$$D View this record in MEDLINE/PubMed |
| BookMark | eNptkk1vEzEQhleoiH7AjTNaCQlxIKm9_kwPSFEKJagIROFsjb3exNWuvXg3Ffvv8TahSqrKB1vjZ17PjN_T7MgHb7PsNUbTAlNxvvx69W16U0jJpHyWnWAs5EQgQY_2zsfZadfdIsQ5x-RFdkxIMSOS0ZPMzfuhdQbq_EcMf12TDgsb7-4jN23w5VCH3pl83gyhj6FdDxf5Ajqb_7RtiH1-aZvguz5C7_wqX9TOj6nnywZWY-DSdSbaFrwZXmbPK6g7-2q3n2W_P3_6tfgyuf5-tVzMryeGCd5PjLSIVhiwNVoSAM0qYKlsW3FggEFXDBNdGFZRbgrQJS0JnjEBvNSMlxU5y5Zb3TLArWpj6ikOKoBT94EQVwpiaqm2ShNNsRZoBhxoqalGDGFBsEG6EoWApPVxq9VudGNLY33qtD4QPbzxbq1W4U4JgWek4Eng_U4ghj8b2_WqSROxdQ3ehk2nCsolZ1IIltC3j9DbsIk-jSpRAjGKCNmjVpAacL5KvwJmFFVzTmdckgKTRE2foNIqbeNM8k_lUvwg4d1ewtpC3a-7UG96l373EHyzP5GHUfx3VAI-bAETQ9dFWz0gGKnRsGo0rNoZNuHFI9y4HsZnU8WufjrpH5Qh7fg |
| CitedBy_id | crossref_primary_10_3389_fsurg_2024_1409283 |
| Cites_doi | 10.1016/j.jns.2009.12.009 10.14245/ns.1938210.105 10.1097/BRS.0b013e3181e08d93 10.1007/s00586-019-05990-7 10.1038/srep39512 10.1097/00007632-199411001-00002 10.1097/00007632-199401000-00005 10.3171/2014.4.SPINE13681 10.1007/s00586-010-1544-1 10.1007/s00586-012-2506-6 |
| ContentType | Journal Article |
| Copyright | 2020 Feng et al. COPYRIGHT 2020 Dove Medical Press Limited 2020. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2020 Feng et al. 2020 Feng et al. |
| Copyright_xml | – notice: 2020 Feng et al. – notice: COPYRIGHT 2020 Dove Medical Press Limited – notice: 2020. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2020 Feng et al. 2020 Feng et al. |
| DBID | AAYXX CITATION NPM 3V. 7X7 7XB 8FI 8FJ 8FK 8G5 ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH GNUQQ GUQSH K9. M0S M2O MBDVC PHGZM PHGZT PIMPY PKEHL PQEST PQQKQ PQUKI PRINS Q9U 7X8 5PM DOA |
| DOI | 10.2147/IJGM.S288588 |
| DatabaseName | CrossRef PubMed ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Research Library ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials ProQuest Central ProQuest One ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student ProQuest Research Library ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni) Research Library Research Library (Corporate) ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest One Academic Middle East (New) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef PubMed Publicly Available Content Database Research Library Prep ProQuest Central Student ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College Research Library (Alumni Edition) ProQuest Central China ProQuest Central Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Research Library ProQuest Central (New) ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) ProQuest Health & Medical Complete ProQuest One Academic UKI Edition ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | Publicly Available Content Database MEDLINE - Academic PubMed |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: http://www.proquest.com/pqcentral?accountid=15518 sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| DocumentTitleAlternate | Feng et al |
| EISSN | 1178-7074 |
| EndPage | 1372 |
| ExternalDocumentID | oai_doaj_org_article_b3b41b709a6a4db4b0501731c0bf727a PMC7719326 A649683213 33293854 10_2147_IJGM_S288588 |
| Genre | Case Reports |
| GeographicLocations | China Beijing China |
| GeographicLocations_xml | – name: China – name: Beijing China |
| GrantInformation_xml | – fundername: ; |
| GroupedDBID | --- 0YH 29J 2WC 53G 5GY 5VS 7X7 8FI 8FJ 8G5 AAYXX ABUWG ACGFO ADBBV ADRAZ AFKRA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS AZQEC BAWUL BCNDV BENPR BPHCQ BVXVI C1A CCPQU CITATION DIK DWQXO E3Z EBD F5P FYUFA GNUQQ GROUPED_DOAJ GUQSH GX1 HMCUK HYE IAO IHR IHW IPNFZ ITC KQ8 M2O M48 MK0 M~E O5R O5S OK1 OVT P2P PGMZT PHGZM PHGZT PIMPY PQQKQ PROAC RIG RNS RPM TDBHL TR2 UKHRP VDV NPM PMFND 3V. 7XB 8FK K9. MBDVC PKEHL PQEST PQUKI PRINS Q9U 7X8 PUEGO 5PM |
| ID | FETCH-LOGICAL-c576t-c8e04f1a1ecb83aab5fa5661ef6a5a1abf513b2c5f46c2abd4d31957a6db56df3 |
| IEDL.DBID | 7X7 |
| ISSN | 1178-7074 |
| IngestDate | Wed Aug 27 01:23:06 EDT 2025 Thu Aug 21 18:16:06 EDT 2025 Fri Sep 05 10:40:14 EDT 2025 Mon Jun 30 12:23:57 EDT 2025 Tue Jun 17 21:06:59 EDT 2025 Tue Jun 10 20:41:56 EDT 2025 Thu May 22 21:21:59 EDT 2025 Thu Jan 02 22:54:18 EST 2025 Thu Apr 24 22:55:12 EDT 2025 Tue Jul 01 01:04:31 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Keywords | cervical spondylotic amyotrophy muscle atrophy anterior decompression |
| Language | English |
| License | http://creativecommons.org/licenses/by-nc/3.0 2020 Feng et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c576t-c8e04f1a1ecb83aab5fa5661ef6a5a1abf513b2c5f46c2abd4d31957a6db56df3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Report-3 ObjectType-Case Study-4 ObjectType-Case Study-2 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 These authors contributed equally to this work |
| ORCID | 0000-0001-9753-2692 |
| OpenAccessLink | https://www.proquest.com/docview/2470540335?pq-origsite=%requestingapplication% |
| PMID | 33293854 |
| PQID | 2470540335 |
| PQPubID | 3933151 |
| PageCount | 6 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_b3b41b709a6a4db4b0501731c0bf727a pubmedcentral_primary_oai_pubmedcentral_nih_gov_7719326 proquest_miscellaneous_2468658775 proquest_journals_2470540335 gale_infotracmisc_A649683213 gale_infotracacademiconefile_A649683213 gale_healthsolutions_A649683213 pubmed_primary_33293854 crossref_primary_10_2147_IJGM_S288588 crossref_citationtrail_10_2147_IJGM_S288588 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2020-01-01 |
| PublicationDateYYYYMMDD | 2020-01-01 |
| PublicationDate_xml | – month: 01 year: 2020 text: 2020-01-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | New Zealand |
| PublicationPlace_xml | – name: New Zealand – name: Macclesfield |
| PublicationTitle | International journal of general medicine |
| PublicationTitleAlternate | Int J Gen Med |
| PublicationYear | 2020 |
| Publisher | Dove Medical Press Limited Taylor & Francis Ltd Dove Dove Medical Press |
| Publisher_xml | – name: Dove Medical Press Limited – name: Taylor & Francis Ltd – name: Dove – name: Dove Medical Press |
| References | Tauchi (ref4) 2013; 22 Shinomiya (ref8) 1994; 19 Yanagi (ref1) 1976; 16 Tauchi (ref7) 2014; 21 Jiang (ref2) 2011; 20 Luo (ref11) 2019; 28 Imajo (ref5) 2011; 36 Zhang (ref6) 2016; 6 Takahashi (ref9) 2019; 16 Shinomiya (ref10) 1994; 19 Gebere-Michael (ref3) 2010; 290 |
| References_xml | – volume: 290 start-page: 142 year: 2010 ident: ref3 publication-title: J Neurol Sci doi: 10.1016/j.jns.2009.12.009 – volume: 16 start-page: 579 year: 2019 ident: ref9 publication-title: Neurospine doi: 10.14245/ns.1938210.105 – volume: 36 start-page: E476 year: 2011 ident: ref5 publication-title: Spine doi: 10.1097/BRS.0b013e3181e08d93 – volume: 28 start-page: 2293 year: 2019 ident: ref11 publication-title: Eur Spine J doi: 10.1007/s00586-019-05990-7 – volume: 6 start-page: 39512 year: 2016 ident: ref6 publication-title: Sci Rep doi: 10.1038/srep39512 – volume: 19 start-page: 2501 year: 1994 ident: ref10 publication-title: Spine doi: 10.1097/00007632-199411001-00002 – volume: 19 start-page: 21 year: 1994 ident: ref8 publication-title: Spine doi: 10.1097/00007632-199401000-00005 – volume: 16 start-page: 520 year: 1976 ident: ref1 publication-title: Rinsho Shinkeigaku – volume: 21 start-page: 411 year: 2014 ident: ref7 publication-title: J Neurosurg Spine doi: 10.3171/2014.4.SPINE13681 – volume: 20 start-page: 351 year: 2011 ident: ref2 publication-title: Eur Spine J doi: 10.1007/s00586-010-1544-1 – volume: 22 start-page: 156 year: 2013 ident: ref4 publication-title: Eur Spine J doi: 10.1007/s00586-012-2506-6 |
| SSID | ssj0066613 |
| Score | 2.153127 |
| Snippet | The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord compression,... Purpose: The aim of this study was to present a novel case of unilateral proximal cervical spondylotic amyotrophy (CSA) with contralateral spinal cord... Shitong Feng,* Zihan Fan,* Yong Yang, Qi Fei, Xiang Li Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050,... |
| SourceID | doaj pubmedcentral proquest gale pubmed crossref |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source |
| StartPage | 1367 |
| SubjectTerms | anterior decompression Atrophy Atrophy, Muscular Care and treatment Case Report cervical spondylotic amyotrophy Consent Magnetic resonance imaging muscle atrophy Patients Spinal cord |
| SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3di9QwEA9yD-KL-G31TisoPkjdpkmarG_rnufdwYpwHtxbSNJEF27bZe3B3X_vTNqtW0R88aWUZgrtfP4mnc4Q8pqrwnDqZCY5HLisVGaUd1jTUHoqglGx483iS3l8zk8vxMXOqC-sCevaA3eMm1hmObUyn5rS8MpymwtQIkZdbgPE3giN8mm-TaY6HwyYPA5GphRyJAlRsit5x5k8k5PTz4v3Z4VSIk5b-R2MYs_-Pz3zTmgal03uxKGje-RuDyDTWffg98ktXz8gtxf9J_KHZDlrb9bI-fTrprleruBkHv0BnJytm7qCDB1uTWerm6bdNMDlD-kcQlnaQfH00K8QMqJi1N_Tvm3o5eRkFccZpYdL8DMQwsAnPyLnR5--zY-zfp5C5iCraDOnfM4DNdQ7q5gxFkQBaI76UBphqLFBUGYLJwIvXWFsxSswUCFNWVlRVoE9Jnt1U_unJOXGWiMszQ0N3AOqsJhmU26DoyYonpB3W8Zq1zcbx5kXlxqSDhSDRjHoXgwJeTNQr7smG3-h-4gyGmiwNXa8AAqje4XR_1KYhLxECevuP9PBwPWs5NMS5zaxhLyNFGji8NDO9H8qwKtjs6wR5f6IEkzTjZe3WqR71_BTF1wiTGZMJOTVsIx3Yrlb7ZsrpCkVQEMpgeZJp3TDSzMGCE0JYLEcqeOIK-OVevkjNg6XMsL1Z_-Djc_JnQK3HuJu1D7ZazdX_gDwWWtfRFP8BUHwOEk priority: 102 providerName: Directory of Open Access Journals – databaseName: Scholars Portal Journals: Open Access dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3da9RAEF9qBfFF_G60agTFB7k2m93NbgWR82ptCydCPehb2N3s1oO75Iwp9P57Zza50FD15Qi3s5DM52-ykxlC3nCVak6tHEkOP1wWaqSVs1jTkDkqvFah4830W3Y846fn4nyLbKaNdgz8_dfUDudJzerF3tWv9Scw-I9Yxky53D85_TrdO0uVEkrdIrfDSREW8fH-PAEwOmVt2fuNHYOAFPr23_TO18LTsHTyWiw6uk_udSAyHrdSf0C2XPmQ3Jl2x-SPyHzcrFfI_fh7XV3Nl3AxCT4BLs5WVVlAlg5b4_FyXTV1BZz-EE8gnMUtHI8P3RJhIypHeRF3rUMX-yfLMNIoPpyDr4EwBn75MZkdffkxOR51MxVGFjKLZmSVS7inmjprFNPagDgA0VHnMy001cYLykxqheeZTbUpeAFGKqTOCiOywrMnZLusSrdDYq6N0cLQRFPPHSALg6k25cZbqr3iEXm_YWxuu4bjOPdikUPigWLIUQx5J4aIvO2pV22jjX_QfUYZ9TTYHjv8UdUXeWdtuWGGUyOTA51pXhhuEgGeh1GbGA-ATUfkFUo4b7817Y08H2f8IMPZTSwi7wIFKh7ctNXd1wrw6Ngwa0C5O6AE87TD5Y0W5RvtzlMuESozJiLyul_GnVjyVrrqEmkyBfBQSqB52ipd_9CMAUpTAlgsB-o44MpwpZz_DM3DpQyQ_dn_b-s5uZvii4XwrmmXbDf1pXsB6KsxL4Nh_QFOmDBN priority: 102 providerName: Scholars Portal |
| Title | Atypical Proximal Cervical Spondylotic Amyotrophy: Case Report Demonstrating Clinical/Imaging Discrepancy |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/33293854 https://www.proquest.com/docview/2470540335 https://www.proquest.com/docview/2468658775 https://pubmed.ncbi.nlm.nih.gov/PMC7719326 https://doaj.org/article/b3b41b709a6a4db4b0501731c0bf727a |
| Volume | 13 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3db9MwELfYJiFeEN8rjBIkEA8oNI7t2OMFdd1GN6nTxJhUniLbcUalNSldJ7H_njvHzRYheImi-CIl9_nz5XJHyDuuUs2plbHkcOCyULFWzmJNQ-aoKLXyHW8mJ9n4nB9PxTQk3K5CWeXaJ3pHXdQWc-SDlEtEF4yJL4tfMU6Nwq-rYYTGBtmigERwdIOcthsuQOaUNcXuOI1ncHT8dfLpLFVK-Dkrt2HId-v_2yffCUrdgsk7EejwEXkYoGM0bGT9mNxz1RNyfxI-jj8ls-HqZoE8j06X9e_ZHE5G3hPAydmirgrYm8Ot0XB-U6-WNfD3czSCIBY1IDzad3MEi6gS1UUUGoZeDo7mfpBRtD8DDwPBC7zxM3J-ePB9NI7DJIXYwn5iFVvlEl5STZ01imltQAiA46grMy001aYUlJnUipJnNtWm4AWYppA6K4zIipI9J5tVXbltEnFtjBaGJpqW3AGeMLjBptyUlupS8R75uGZsbkObcZx2cZnDdgPFkKMY8iCGHnnfUi-a9hr_oNtDGbU02BTbX6iXF3mwsdwww6mRya7ONC8MN4kAf8OoTUwJME33yBuUcN78Ydqadj7M-G6GE5tYj3zwFGjc8NBWh38U4NWxTVaHcqdDCUZpu8trLcqDU7jKb1W4R962y3gnFrpVrr5GmkwBKJQSaF40Ste-NGOAzZQAFsuOOna40l2pZj99y3ApPVB_-f_HekUepJhO8BmmHbK5Wl6714C5VqZPNpIf4743rz7Z2js4Of3W9_kLOE64-gOAAzJT |
| linkProvider | ProQuest |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3fb9MwELZGJwEviN8UBgsSEw8otE7sJEOaUNdutNtaTWyT9mZsxxmV2qR0naD_HH8bd47TLULwtpcqqi-R4zvffefY9xHyjiWBZFTHfszgh8Vp4svEaNzTEBnKM5nYijfDUdQ_Ywfn_HyN_K7OwuC2ysonWkedFhrXyFsBixFdhCH_PPvhI2sUfl2tKDSko1ZId2yJMXew49Asf0IKd7kz6IG-t4Jgf--02_cdy4CvAWsvfJ2YNsuopEarJJRSQQcB41CTRZJLKlXGaagCzTMW6UCqlKVgtjyWUap4lGYhPPcOWWe4gNIg67t7o-OvVSyA3ICG5XZ75ANqDQ6-DD-eBEnCLdPLdSC0fAF_R4UbYbG-ZfNGDNx_SB448Op1Smt7RNZM_pjcHbrP80_IuLNYzlDr3vG8-DWewkXX-iK4OJkVebqcFHCr15kui8W8AA1_8roQRr0yDfB6ZopwFY0yv_BcydJJazC1VEpebww-DsInxIOn5OxWRvkZaeRFbl4Qj0mlJFe0LWnGDCAahSk-ZSrTVGYJa5IP1cAK7QqdI9_GREDCg2oQqAbh1NAkWyvpWVng4x9yu6ijlQyW5bZ_FPML4Wa5UKFiVMXtbRlJliqm2hw8Xkh1W2UAFGWTbKKGRXnGdeVcRCdi2xFyRoVN8t5KoHuBTmvpTknAq2OhrprkRk0S3IKuN1dWJJxbuhTXk6hJ3q6a8U7capeb4gplogRgaRyDzPPS6FYvHYaADhMOQxzXzLE2KvWWfPzdFi2PY5sqvPx_tzbJvf7p8EgcDUaHr8j9ABc37HrXBmks5lfmNSDAhXrjpplHvt32zP4Duax0EA |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3db9MwELfGJk28IL7pNliQmHhAoXVixxnShLp2Zd1oVTEm7S3YjjMqtUnpOkH_Rf4q7hynW4TgbS9VVF8ix_f1O-d8R8gbFgeSUS18weCHiTT2ZWw05jREhvJMxrbizWAYHZ-zkwt-sUZ-V2dhMK2ysonWUKeFxj3yZsAEoosw5M3MpUWMur2Psx8-dpDCL61VOw3p2iykB7bcmDvkcWqWPyGcuzrod4H3e0HQO_raOfZdxwFfA-5e-Do2LZZRSY1WcSilgskC3qEmiySXVKqM01AFmmcs0oFUKUtBhLmQUap4lGYhPPce2RDg9SEQ3Dg8Go6-VH4B4gQalqn32Buo2T_5NHh_FsQxt11fbpyi7R3wt4e45SLr6Zu3_GHvIXnggKzXLiXvEVkz-WOyOXCf6p-QcXuxnKEEeKN58Ws8hYuOtUtwcTYr8nQ5KeBWrz1dFot5Adz-4HXApXplSOB1zRShKwpofum58qWTZn9q2yp53THYO3Cl4BuekvM7WeVnZD0vcvOCeEwqJbmiLUkzZgDdKAz3KVOZpjKLWYO8qxY20a7oOfbemCQQ_CAbEmRD4tjQIHsr6llZ7OMfdIfIoxUNlui2fxTzy8RpfKJCxagSrX0ZSZYqplocrF9IdUtlABplg-wih5PyvOvK0CTtiO1H2D8qbJC3lgJNDUxaS3diAl4di3bVKHdqlGAidH24kqLEmair5EahGuT1ahjvxLS73BTXSBPFAFGFAJrnpdCtXjoMASnGHJZY1MSxtir1kXz83RYwF8KGDVv_n9Yu2QQNTz73h6fb5H6A-xx262uHrC_m1-YlgMGFeuW0zCPf7lqx_wALz3hU |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Atypical+Proximal+Cervical+Spondylotic+Amyotrophy%3A+Case+Report+Demonstrating+Clinical%2FImaging+Discrepancy&rft.jtitle=International+journal+of+general+medicine&rft.au=Feng%2C+Shitong&rft.au=Fan%2C+Zihan&rft.au=Yang%2C+Yong&rft.au=Qi+Fei&rft.date=2020-01-01&rft.pub=Taylor+%26+Francis+Ltd&rft.eissn=1178-7074&rft.volume=13&rft.spage=1367&rft_id=info:doi/10.2147%2FIJGM.S288588&rft.externalDBID=HAS_PDF_LINK |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1178-7074&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1178-7074&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1178-7074&client=summon |