Léger J M
Department of Neurology, Hôpital de la Salpetrière, Paris, France.
J Neurol. 1999 Mar;246(3):156-61. doi: 10.1007/s004150050326.
Chronic neuropathy is the most frequent condition affecting the peripheral nervous system. It includes symmetrical polyneuropathies, multifocal mononeuropathies, mononeuropathies and radiculopathies. Mononeuropathies are mainly due to compression or entrapment and are not discussed in this review, which focuses on polyneuropathies and multifocal mononeuropathies with a chronic course, lasting for more than 2 months. Their diagnosis requires a systematic approach including clinical, electrophysiological, biological, and sometimes pathological investigations. The search for an etiological diagnosis may involve a very wide panel of hereditary and acquired diseases. Despite progress in the understanding and diagnosis of many chronic neuropathies, some of them remain unresolved.
慢性神经病变是影响周围神经系统最常见的病症。它包括对称性多神经病变、多灶性单神经病变、单神经病变和神经根病。单神经病变主要由压迫或卡压引起,本综述不对此进行讨论,本综述重点关注病程超过2个月的慢性多神经病变和多灶性单神经病变。其诊断需要系统的方法,包括临床、电生理、生物学检查,有时还需要病理检查。寻找病因诊断可能涉及一系列非常广泛的遗传性和后天性疾病。尽管在许多慢性神经病变的理解和诊断方面取得了进展,但其中一些仍然没有得到解决。