Ensrud E R, Krivickas L S
Department of Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Phys Med Rehabil Clin N Am. 2001 May;12(2):321-34, ix.
The acquired demyelinating neuropathies can be divided into those with an acute onset and course and those with a more chronic course. The acute neuropathies present as Guillain-Barré syndrome and include acute inflammatory demyelinating polyradiculoneuropathy (AIDP), Miller Fisher syndrome, acute motor axonal neuropathy (AMAN), acute motor and sensory axonal neuropathy (AMSAN), and acute pandysautonomia. The chronic neuropathies are collectively known as chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) and include MADSAM (multifocal acquired demyelinating sensory and motor neuropathy, also know as Lewis-Sumner syndrome) and DADS (distal acquired demyelinating symmetric neuropathy) as variants. The clinical features, pathology, pathogenesis, diagnosis, treatment, rehabilitation, and prognosis of these neuropathies are discussed.
获得性脱髓鞘性神经病可分为急性起病及病程型和病程更为慢性型。急性神经病表现为吉兰-巴雷综合征,包括急性炎症性脱髓鞘性多发性神经根神经病(AIDP)、米勒-费希尔综合征、急性运动轴索性神经病(AMAN)、急性运动和感觉轴索性神经病(AMSAN)以及急性全自主神经功能不全。慢性神经病统称为慢性炎症性脱髓鞘性多发性神经根神经病(CIDP),其变异型包括多灶性获得性脱髓鞘性感觉和运动神经病(MADSAM,也称为刘易斯-萨姆纳综合征)和远端获得性脱髓鞘性对称性神经病(DADS)。本文将讨论这些神经病的临床特征、病理、发病机制、诊断、治疗、康复及预后。