Cervical fibroids are lesions of the vertebral discs of the cervical spine, as a result of which they undergo degenerative-dystrophic changes. The main reason for its development is a violation of the normal processes of metabolism, which leads to structural deformation of the vertebral body and cartilage disc. In the case of cervical localization, symptoms of the pathology are largely determined by compression of large vessels. The method of treatment chosen depends on the stage, the specificity of the course, the severity, the main symptoms.
Characteristics of the disease
The spinal form is the most dangerous type of bone necrosis: leading to impaired cerebral circulation, as the vertebral artery passes through this area - one of the largest vessels supplying essential substances andoxygen to the brain.
Movement of vertebrae, abnormal changes and overgrowth of bones and fibrous tissue disrupt the normal functioning of the vessels.
The specificity of the symptoms of osteonecrosis in this part is, among other things, determined by one of the structural features of the cervical vertebra, including tight adhesionmore of them together. As a result, any change in one segment results in the failure of the whole department.
Clinics depend on stage
During development, cervical bone necrosis goes through four stages. How does it manifest itself on each of them?
- Stage 1. It is characterized by the appearance of initial disturbances in the stability of the disc. Symptoms are mild or absent. Local pain and muscle tension are not noticeable.
- Stage 2. Disc protrusion begins, spaces between vertebrae are reduced, loops collapse. In many cases, due to compression of nerve endings, pain occurs - mainly of a point nature. They strengthen when rotating, tilting the neck. Damaged, weak often appear.
- Stage 3. Final destruction of the loops leads to the formation of herniated masses. This stage is characterized by a significant deformation of the spine. Increased pain and fatigue occurs against the background of sensory disturbances and limited mobility in the affected area.
- Stage 4 is the hardest. Severe pain syndrome manifests itself with any effort to move, leading to a significant limitation in the mobility of this organ. Sometimes the pain is less, but this does not indicate an improvement in the condition, but only an increase in the size of the developed bones, significantly limited movement. They often lead to the patient's disability.
Symptoms of cervical bone tumor
When lying on the cervical spine, the most common symptoms of osteonecrosis are:
- pain in the neck, behind the head, shoulders, and arms;
- restrains movement, crunches the abdomen at different angles, neck tilt;
- weak hands;
- pulls pain on the left side of the chest, spreading to the corresponding arm;
- burned in the interstitial region;
- recurrent headache;
- weaknesses;
- dizziness (with a severe episode of cervical bone necrosis, possible loss of consciousness);
- coordination of movements is impaired, this is mainly reflected in the gait;
- hearing loss, tinnitus;
- decreased vision;
- sore throat;
- poor oral health;
- weak or hoarse voice;
- snoring is a result of the muscle tension in the neck.
In the cervical type, symptoms are almost similar to cervical bone tumors. This one:
- debilitating syndrome;
- dizziness and headache;
- cyclic pressure fluctuation;
- flashes a fly in front of her eyes;
- pain in the shoulder and arm;
- muscle weakness;
- numbness, tingling, coldness in the fingers;
- chest pain, heart pain;
- nausea;
- numb tongue and face;
- oral problems;
- feels an electric current flowing down your arm when trying to bend your neck.
Syndrome
Symptoms of cervical osteonecrosis are not considered typical. Which of them is most obvious depends largely on the specific goal. Many manifestations may be confused with other medical conditions. Therefore, there are often cases of wrong treatment indicated.
The complex of symptoms is divided into the following groups:
- lenticular;
- spinal artery syndrome;
- irritable reflex syndrome.
Lens syndrome
Its second name is sciatica. The syndrome develops due to compression of nerve endings in the neck. Pain is transmitted from the neck down to the shoulder blades, down the shoulders, along the outer surface of the forearms to the fingers. In this case, it often appears:
- creepy feeling;
- tingling hands, forearms, and fingers;
- pasty.
The appearance also differs according to the affected area. If the nerve endings are affected, the pleasure extends to the thumb, middle, and index finger. When the nerve ends of the arm are pinched, the little and ring fingers are affected.
Irritating reflex syndrome
Acute burning pain in the occipital region, which occurs after movement after a stationary state: after sleep, when sneezing, a sharp turn of the head becomes its sign. Usually the pain spreads to the shoulders and chest.
Spinal artery syndrome
Symptoms of cervical bone necrosis are:
- throbbing or burning headache (paroxysmal or persistent), spreading to the temples, crown of head, back of head, and wrinkles on eyebrows;
- increases discomfort with certain movements or after a long period of in an uncomfortable position;
- general weakness;
- nausea;
- lost consciousness;
- hearing problems;
- disorders of the vestibular apparatus;
- eye pain;
- blurred vision.
Heart Syndrome
As the symptom complex of this cervical necrosis develops, an image that is close to the angina will develop, which often leads to erroneous treatment.
Muscle contractions and spasms in the heart region are most likely a reflex reflex that compresses nerve ends below the cervix. Cardiac syndrome is the result of stimulation of the phrenic nerve (its fibers leading to the pericardium) or the main chest muscle:
- sudden, persistent pain;
- exacerbated by strong neck movements, coughing, and sneezing;
- may occur tachycardia and extrasystole; Pain
- that did not stop after taking coronary dilators;
- showed no signs of circulatory impairment on the ECG.
Exacerbation of disease
During the exacerbation stage, symptoms of cervical osteonecrosis are:
- increases pain sensation and its irradiation to the scapula, interstitial region, arms, and shoulders;
- Difficulty moving of shoulders, body, arms, sometimes breathing (inhaling and exhaling); Pain syndrome
- often resembles heart attack or intercostal pain;
- when onset of pain in the hypotenic region or right iliac fossa, see a doctor almost similar to the manifestation of gastritis or cholecystitis; Headache
- of a protracted nature, imbalance, impaired visual and hearing function;
- in the inner region, skin nutrition is disturbed, tingling appears, numbness, dryness, pallor, burning, chills;
- sounds of cervical muscles increase;
- appeared asthenia, lethargy, nervous tension, anxiety, emotional instability;
- can cause sleep disturbances, memory disturbances, and problems with concentration.
Osteochondrosis and vegetative vascular dystonia
Cervical fibroids can lead to the appendage of the first cervical vertebra shifting to the right or left, causing the development of VSD (vegetative vascular dystonia). It is quite difficult to pinpoint it, as there are often no symptoms or they are mild. In this case, maybe:
- compresses sympathetic plexuses, leading to the appearance of neurological signs or VSD;
- compression of the artery and impaired cerebral circulation;
- compresses the veins, causing a violation of outflow and followed by increased intracranial pressure;
- compresses the spinal cord, causing a decrease in cerebrospinal fluid movement, which also leads to high pressure inside the skull; Muscle spasm
- aggravates symptoms due to severe compression of blood vessels and nerves.
The resulting processes are:
- headache;
- darkened eyes;
- dizziness;
- vision impairment;
- double vision (double vision);
- flashes before "flies" eyes;
- high or low pressure;
- nausea, sometimes accompanied by vomiting;
- lost consciousness.
An escape of the vertebra is detected by radiographs. Minimize it is a fairly complicated procedure, usually performed under general anesthesia.
How to diagnose the disease
The leading methods to diagnose bone cervical tumors are:
- X-ray
- ; Magnetic resonance imaging
- ;
- computed tomography;
- Doppler ultrasound;
- duplex scanning.
The last two methods are used to check the condition of the ancient circuit.