对疑似神经肌肉接头疾病患者的电诊断方法。

Electrodiagnostic approach to the patient with suspected neuromuscular junction disorder.

作者信息

Katirji Bashar, Kaminski Henry J

机构信息

Department of Neurology, Case Western Reserve University, Division of Neuromuscular Diseases, EMG Laboratory, University Hospitals of Cleveland, Cleveland, OH, USA.

出版信息

Neurol Clin. 2002 May;20(2):557-86, viii. doi: 10.1016/s0733-8619(01)00012-3.

DOI:10.1016/s0733-8619(01)00012-3

PMID:12152447

Abstract

The electrodiagnostic (EDX) examination in patients with suspected Neuromuscular Junction (NMJ) disorder constitutes the most advanced and complex type of EDX studies. Understanding the anatomy and physiology of neuromuscular transmission is prerequisite for the comprehension and planning of EDX studies in patients with suspected NMJ disorders. In addition to routine nerve conduction studies and conventional needle electromyography (EMG), the EDX studies, which are most useful in the diagnosis of NMJ disorders, include repetitive nerve stimulation and single fiber EMG.

摘要

对疑似神经肌肉接头（NMJ）疾病患者进行的电诊断（EDX）检查是最先进、最复杂的EDX研究类型。了解神经肌肉传递的解剖学和生理学是理解和规划疑似NMJ疾病患者的EDX研究的先决条件。除了常规神经传导研究和传统针电极肌电图（EMG）外，对NMJ疾病诊断最有用的EDX研究还包括重复神经刺激和单纤维EMG。