电击伤后运动神经元病
Motor neuron disease after electric injury.
作者信息
Jafari H, Couratier P, Camu W
机构信息
Fédération de Neurologie, Hôpital Gui de Chauliac, CHU de Montpellier, 34 295 Montpellier Cedex 5, France.
出版信息
J Neurol Neurosurg Psychiatry. 2001 Aug;71(2):265-7. doi: 10.1136/jnnp.71.2.265.
The occurrence of motor neuron disease after electrical injury in six patients is reported and compared with patients from the literature. The patients were five men with spinal onset and one woman with bulbar motor neuron disease after electric shock. Two patients were struck by lightning and four by industrial electric shock. For all six of them, the disease started at the site of the electrical trauma. The mean delay for onset of motor neuron disease was 44 months. In four of the spinal patients the disease progressed slowly with mild handicap after several years. For the fifth patient, improvement was noted progressively. The patient with bulbar disease died 26 months after onset. A link between electric shock and motor neuron disease is likely, given the homogenous profile of the patients both in the five spinal cases presented here and in the literature. Bulbar onset has not been reported to date. However, in this patient the long delay between the electrical injury and motor neuron disease, together with the rapid evolution may suggest a chance association.
报告了6例电损伤后发生运动神经元病的患者，并与文献中的患者进行了比较。患者中有5名男性为脊髓型发病，1名女性为电击后延髓型运动神经元病。2名患者遭雷击，4名患者遭受工业电击。所有6例患者的疾病均始于电创伤部位。运动神经元病发病的平均延迟时间为44个月。4例脊髓型患者的疾病进展缓慢，数年后出现轻度残疾。第5例患者病情逐渐好转。延髓型患者发病26个月后死亡。鉴于此处呈现的5例脊髓型病例以及文献中患者情况的一致性，电击与运动神经元病之间可能存在关联。迄今为止尚未有延髓型发病的报道。然而，该患者电损伤与运动神经元病之间间隔时间长，且病情发展迅速，这可能提示为偶然关联。
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