Distal upper limb muscle atrophy in young people refers to a benign self-limiting motor neuron disease, also known as Hachimori disease. Muscle atrophy refers to dystrophy of striated muscle, with muscle volume smaller than normal and muscle fibers becoming thinner or even disappearing. The nutritional status of muscles is not only related to the pathological changes of the muscle tissue itself but is also closely related to the nervous system. Spinal cord diseases often lead to muscle dystrophy and muscle atrophy. The affected areas are usually the distal hand muscles of the unilateral upper limb, with electromyography showing neurogenic damage, and the course is benign, which can stop spontaneously. It is more common in adolescence, and males are more common. The ratio of male to female is about 20:1. Clinically, it is similar to the manifestations of motor neuron disease, amyotrophic lateral sclerosis, and progressive spinal muscular atrophy, but the prognosis is completely different.
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Distal upper limb muscle atrophy in young people
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1. What are the causes of distal upper limb muscle atrophy in young people?
2. What complications can distal upper limb muscle atrophy in young people easily lead to?
3. What are the typical symptoms of distal upper limb muscle atrophy in young people?
4. How to prevent distal upper limb muscle atrophy in young people?
5. What laboratory tests need to be done for distal upper limb muscle atrophy in young people?
6. Diet taboos for patients with distal upper limb muscle atrophy in young people
7. Conventional methods of Western medicine for the treatment of distal upper limb muscle atrophy in young people
1. What are the causes of distal upper limb muscle atrophy in young people?
The cause of this disease has not been fully clarified. Wang Jing et al. (1985) performed myelography and CT myelography on 15 patients and found that 14 had limited atrophy of the spinal cord from the lower neck to the upper chest. When the patient's head is flexed forward, the dura sac is significantly stretched, causing the cervical cord to be excessively stretched and compressed, leading to circulatory disorders. These repeated minor injuries may be the cause of the disease.
2. What complications can distal upper limb muscle atrophy in young people easily lead to?
Distal upper limb muscle atrophy in young people can be complicated with upper limb muscle atrophy and muscle weakness. These diseases seriously affect the daily life of patients and damage their physical health, so it is necessary to treat them in a timely manner.
3. What are the typical symptoms of distal upper limb muscle atrophy in young people?
Most patients have
The disease progresses slowly for several years after onset and is easily confused with diseases such as amyotrophic lateral sclerosis or progressive muscle atrophy of the spinal cord. However, the vast majority of patients' conditions can naturally stop within 5 years after onset, and the prognosis is significantly different from that of motor neuron diseases. The latter, although the distribution of involved muscles is widespread and symmetrical, generally requires at least 1-3 years of follow-up observation, and can be completely excluded only after confirming that the condition is stable and no longer progressing.
The course of this disease is benign, without sensory impairment, and without abnormal tendinous reflexes, but the affected local muscles may have fine muscle bundle tremors, and electromyography shows nerve damage.
4. How to prevent juvenile distal upper limb muscle atrophy
The etiology of juvenile distal upper limb muscle atrophy is not yet clear, so there is no effective preventive method. Patients need to avoid prolonged overextension of the neck, and actively treat to prevent the occurrence of complications.
5. What laboratory tests are needed for juvenile distal upper limb muscle atrophy
The clinical symptoms of juvenile distal upper limb muscle atrophy are typical. Combined with the results of cerebrospinal fluid examination, routine blood tests and immunological examinations generally do not show significant abnormalities, electromyography examination shows nerve damage.
6. Dietary taboos for patients with juvenile distal upper limb muscle atrophy
The dietary principles for juvenile distal upper limb muscle atrophy are briefly described as follows:
1. Foods to Eat
Rationally adjust the diet structure. High-protein, high-energy diet supplementation provides the necessary substances for the reconstruction of nerve cells and skeletal muscle cells, to enhance muscle strength and increase muscle mass. Adopt high-protein, vitamin-rich, phospholipid and trace element foods, actively cooperate with medicinal diet, such as yam, Job's tears, lotus seed core, tangerine peel, Taiizi参, lily, etc.
2. Avoid Eating
Reduce the intake of spicy foods, quit smoking and alcohol.
7. Conventional methods for the treatment of juvenile distal upper limb muscle atrophy in Western medicine
The course of this disease is self-limiting and the prognosis is good. Currently, the following treatment methods are available:
1. Cervical Collar Treatment
Early diagnosis and early treatment with a cervical collar can shorten the course of the disease and alleviate clinical manifestations. It is recommended that the cervical collar be worn for as long as possible.
2. Surgical Treatment
Research shows that lumbar duraplasty combined with spinal cord decompression can improve both short-term and long-term effects.
Recommend: Colles fracture , Rotator interval tear , Suprascapular nerve compression syndrome , Anterior interosseous neuropathy , Styloid process tendinitis , Smith fracture
