Roth's syndrome

Overview said, Bernharat - Rondrome syndrome, feeling abnormal sexual limb pain. Cause pathogenesis unknown reasons some patients, secondary were due to the following reasons : 1. Limitations : (1) or within the spinal canal side : spinal cord lesions such as multiple sclerosis, syringomyelia, syphilis; spinal nerve root as the nerve root in charge of nerve root compression; meningocele ridge if it uveitis, spinal anesthesia; if it lumbar intervertebral disc herniation, spur and bone infections and Spondylolisthesis. (2) Waist : back surgery ileocecal inflammation, tumor, urethral stones, pelvic inflammatory disease and pregnancy, and so on. (3) peripheral : local infection, lipoma, sarcoma, trichinosis, tight waist belt she etc.. 2. Systemic : (1) Toxic : alcohol, anesthetics and lead poisoning. (2) metabolism : diabetes, gout, such as lack of vitamin. (3) Infection : herpes simplex, influenza, rheumatic fever, malaria, scarlet fever. (4) exposure cold, warm stimulation. See most of the reason is mechanical compression injury lateral femoral cutaneous nerve. Clinical features of the thighs skin side ago, the pain and sensory dysfunction. More common in men aged around 40, mostly for sexual side. More thigh by former Foreign side numb and attention, early intermittent sustained and gradually increasing, changes to the burning and persistent pain, feeling dissipated, but also pain deletion. District obstacles skin sweating abnormalities, skin atrophy, anterior superior iliac spine and below the medial tenderness. Aggravating factors are walking, standing a long time, the friction of clothing, such as the thighs over-extended. Differential diagnosis (1) Families of syphilis (spinal syphilis) 1. Syphilitic myelitis (syph ilitic myelitis) is a syphilitic nerve damage in the early symptoms, Standing in syphilis infection after three five-year incidence. Including damage to the spinal cord, spinal epidural infections and spinal cord uveitis, uveitis spinal artery and nerve roots caused by rheumatoid symptoms. performance of the root pain, paraplegia and, urine dysfunction. HAZE-reaction test (VDRL) and the secret spiral-fluorescent antibody assay (24/13-ABS) positive. 2. Next to the spinal cord (tabes dorsalis) often syphilis infection after 10 ~ 30 incidence. For the good performance in the lower extremities of the lightning-like pain or hypersensitivity, waist electrogoniometer; flu, deep feeling of sensory dysfunction and ataxia, sphincter dysfunction, impotence and offal crisis, ocular symptoms including A-Romanian pupil, diplopia, IV of Part III of cranial nerve palsy, nutrition ulcer. Immune experiment (TRI) and VDRL, FTA-ABS positive. (2) syringomyelia (symptom) Refer Morvan's syndrome. (3) Multiple Sclerosis (multiple sclerosis) Refer Louis-Bar's syndrome. (4) spinal arachnoid Yan (spinal SA) is secondary to a etiology - inflammatory response. Limitations were often in acute infection, fever immediately after emerging-ache and more obvious, and the feeling of fixed obstacles and sometimes movement disorders. With spinal cord cyst and tumor type is very similar, but purely local-adhesion showed segmental sensory dysfunction, little sphincter dysfunction, such as inflammation of aggression and only a few of spinal nerve root, root pain performance, or corresponding section of the muscle atrophy or inability. Myelography is diagnostic value. (5) spinal cord tumors (spinal tumor) Refer Naffziger's syndrome. (6) lumbar disc herniation (adhesion of the lumbar interver tebral discs) mainly for the long-term history of lower back pain, bent over, load-induced, the rest disappeared, Typical sciatica attack, and legs, the central skin prick or numbness, check the normal lumbar lordosis disappeared, paravertebral muscle rigidity, and the lesions on both sides of spinous process called pain and tenderness, straight leg raising test on the side of not more than 30 °. Myelography, CT, MRI contribute to the position and nature of the diagnosis. (7) diabetic neuropathy (diabetic neuropathy) Refer Morvan's comprehensive a levy. (8) Other the other causes of the disease, detailed history, careful physical examination and the necessary supporting inspections It is not difficult to make a more definite diagnosis. Yet, since the complex causes of disease, they should first rule out serious diseases such as spinal cord tumor, in order not to delay treatment. (9) Unit neuritis (femoral neuritis) of the disease should avoid confusion with the shares neuritis. The latter extended sensory dysfunction and medial thigh ago, the stock lower before the muscle strength, knee jerk diminish or disappear, to differentiate.