题目内容

女性,52岁。颈痛伴右肩部痛1年余,近5个月出现四肢麻木,无力,行走时有踩棉花样感觉。查体:颈椎无明显畸形,活动轻度受限,右手及前臂尺侧感觉减退,双下肢肌张力增高,肌力IV级。X线检查见颈椎骨质增生,生理曲度变直。最可能的诊断是

A. 肩周炎
B. 脊髓型颈椎病
C. 交感神经型颈椎病
D. 颈椎肿瘤

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