{"id":7853,"date":"2026-01-04T08:02:01","date_gmt":"2026-01-04T07:02:01","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=7853"},"modified":"2026-01-04T08:02:01","modified_gmt":"2026-01-04T07:02:01","slug":"drapeaux-rouges-cervicales","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=7853","title":{"rendered":"Drapeaux rouges cervicales"},"content":{"rendered":"\n

Fractures<\/h3>\n\n\n\n
\u00c2ge avanc\u00e9<\/strong>
Historique de traumatisme<\/strong>
Utilisation de corticost\u00e9ro\u00efdes<\/strong>
Ost\u00e9oporose<\/strong><\/td><\/tr>
C-Spine rule
\"\"<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Pathologie \/ dysfonction art\u00e9rielle cervicale<\/h3>\n\n\n\n
FDR<\/strong>
– fumeur ou ancien fumeur
– migraines
– cholest\u00e9rol total \u00e9lev\u00e9
– infection r\u00e9cente
– hypertension
– contraception orale
– ATC familial d\u2019AVC<\/td><\/tr>
Sympt\u00f4mes<\/strong>
– maux de t\u00eate
– douleurs cervicales
– perturbations visuelles (vision double)
– paresth\u00e9sies MS \/ face \/ MI
– \u00e9tourdissements
– naus\u00e9es, vertiges
– vomissements
– faiblesse des membres
– changements papillaires<\/td><\/tr>
Signes cliniques<\/strong>
– ptose
– faiblesse MS \/ MI
– PF
– dysphasie \/dysarthrie \/ aphasie
– instabilit\u00e9 axiale
– naus\u00e9es \/ vomissements
– somnolence \/ perte de conscience
– confusion
– dysphagie<\/td><\/tr>
R\u00e9orientation<\/strong>
Pas de guide pratique clinique standardis\u00e9
Echo-doppler, IRM, art\u00e9riographie, tomodensitom\u00e9trie<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

My\u00e9lopathie cervicale<\/h3>\n\n\n\n
Sympt\u00f4mes neurologiques<\/strong>
– troubles sensoriels
– perte de force musculaire dans les extr\u00e9mit\u00e9s
– dysfonction v\u00e9sicale
– dysfonction intestinale<\/td><\/tr>
Cluster de Cook<\/strong>
Probabilit\u00e9 de my\u00e9lopathie cervicale (\u00e0 94%) si au moins 3\/5 tests positifs :
– anomalie \u00e0 la marche
– test de Hoffman +
– signe de supination invers\u00e9e
– test de Babinski +
– \u00e2ge > 45 ans<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Infection<\/h3>\n\n\n\n
FDR<\/strong>
– immunosuppresseurs
– plaie ouverte
– consommation de drogues par voie intraveineuse
– exposition \u00e0 des maladies infectieuses<\/td><\/tr>
Sympt\u00f4mes et signes :<\/strong>
– fi\u00e8vre
– sueurs nocturnes<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Tumeur<\/h3>\n\n\n\n
– Historique de cancer
– Pas d\u2019am\u00e9lioration des sympt\u00f4mes apr\u00e8s 4 semaines de traitement
– Perte de poids inexpliqu\u00e9e (5 \u00e0 10% en 3 \u00e0 6 mois)
– \u00c2ge > 50 ans
– Difficult\u00e9 \u00e0 avaler
– Maux de t\u00eate
– Vomissements<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Maladies syst\u00e9miques<\/h3>\n\n\n\n
Exemples : Herp\u00e8s zoster, spondylarthrite ankylosante, arthrite inflammatoire, arthrite rhumato\u00efde<\/em>
– maux de t\u00eate
– fi\u00e8vre
– \u00e9ruption cutan\u00e9e unilat\u00e9rale
– douleur br\u00fblante
– d\u00e9mangeaisons<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Visc\u00e8res<\/h3>\n\n\n\n
Certaines douleurs r\u00e9f\u00e9r\u00e9es vers le quadrant sup\u00e9rieur du corps, y compris la r\u00e9gion des cervicales,  peuvent \u00eatre provoqu\u00e9es par des troubles :
– gastro-intestinaux (hernie hiatale, reflux gastro-\u0153sophagien)
– biliaires (chol\u00e9cystite)
– r\u00e9naux (py\u00e9lon\u00e9phrite, calcul r\u00e9nal)
– h\u00e9patiques (h\u00e9patite virale)
– cardiaques (infarctus du myocarde)
– pulmonaires (embolie pulmonaire)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Dysfonctions ligamentaires<\/h3>\n\n\n\n
Sympt\u00f4mes \u00e9vocateurs<\/strong>
– intol\u00e9rance aux postures statiques prolong\u00e9es
– fatigue et incapacit\u00e9 \u00e0 tenir la t\u00eate haute
– mieux avec un soutien externe (mains, collier)
– besoin fr\u00e9quent d’auto-manipulation
– sensation d’instabilit\u00e9, tremblement ou manque de contr\u00f4le
– \u00e9pisodes fr\u00e9quents de douleurs aigu\u00ebs et soudaines<\/td><\/tr>
Examen physique<\/strong>
– mauvaise coordination\/contr\u00f4le neuromusculaire
– jeu articulaire anormal
– mouvement non r\u00e9gulier dans toute l\u2019amplitude du mouvement<\/td><\/tr>
Test du ligament transverse<\/strong>
Sharp Purser test<\/a>
– patient assis et t\u00eate semi-fl\u00e9chi
– bloquer  le processus \u00e9pineux de C2
– effectuer une translation post\u00e9rieure de la t\u00eate par une pouss\u00e9e sur le front
=> Positif en cas d’amplitude importante \/ ressaut<\/td><\/tr>
Test du ligament alaire<\/a><\/strong>
– patient en d\u00e9cubitus dorsal
– Fixer l’axis (main sous le cou)
– Effectue une rotation ou inclinaison passive de la t\u00eate
Le ligament est int\u00e8gre si on ressent un arr\u00eat dur en fin d’amplitude
En cas d’amplitude excessive, le test est positif<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"

Fractures \u00c2ge avanc\u00e9Historique de traumatismeUtilisation de corticost\u00e9ro\u00efdesOst\u00e9oporose C-Spine rule Pathologie \/ dysfonction art\u00e9rielle cervicale FDR– fumeur ou ancien fumeur– migraines– cholest\u00e9rol total \u00e9lev\u00e9– infection r\u00e9cente– hypertension– contraception orale– ATC familial d\u2019AVC Sympt\u00f4mes– maux de t\u00eate–…<\/p>\n

Continue Reading \u00ab\u00a0Drapeaux rouges cervicales\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[374],"tags":[],"class_list":["post-7853","post","type-post","status-publish","format-standard","hentry","category-pathologie-cervicales"],"yoast_head":"\nDrapeaux rouges cervicales - wikine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kineaphp.fr\/?p=7853\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Drapeaux rouges cervicales - wikine\" \/>\n<meta property=\"og:description\" content=\"Fractures \u00c2ge avanc\u00e9Historique de traumatismeUtilisation de corticost\u00e9ro\u00efdesOst\u00e9oporose C-Spine rule Pathologie \/ dysfonction art\u00e9rielle cervicale FDR– fumeur ou ancien fumeur– migraines– cholest\u00e9rol total \u00e9lev\u00e9– infection r\u00e9cente– hypertension– contraception orale– ATC familial d\u2019AVC Sympt\u00f4mes– maux de t\u00eate–…Continue Reading "Drapeaux rouges cervicales"\" \/>\n<meta property=\"og:url\" content=\"https:\/\/kineaphp.fr\/?p=7853\" \/>\n<meta property=\"og:site_name\" content=\"wikine\" \/>\n<meta property=\"article:published_time\" content=\"2026-01-04T07:02:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/05\/C-Spine-Rule-2-821x1024.avif\" \/>\n<meta name=\"author\" content=\"kineaphp.fr\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"kineaphp.fr\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/kineaphp.fr\/?p=7853\",\"url\":\"https:\/\/kineaphp.fr\/?p=7853\",\"name\":\"Drapeaux rouges cervicales - 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