Marques Júnior W, Barreira A A, Herrera R F
Departamento de Neuropsiquiatria e Psicologia Médica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brasil.
Arq Neuropsiquiatr. 1992 Dec;50(4):441-7.
The present study was undertaken to evaluate the influence of clinical examination and complementary tests on the diagnosis of peripheral neuropathies. Most of the patients (81.8%) were submitted to laboratory tests, 47.4% were submitted to electromyography, and 22.5% to biopsy. A syndromic diagnosis was made in 99.0% of the patients, topographic diagnosis in 98.6%, and etiological diagnosis in 73.2%. An average of 4.8 tests per patient were requested and 36 of the 93 different tests always gave normal results. The importance of the findings is discussed.
本研究旨在评估临床检查和辅助检查对外周神经病变诊断的影响。大多数患者(81.8%)接受了实验室检查,47.4%接受了肌电图检查,22.5%接受了活检。99.0%的患者做出了综合征诊断,98.6%做出了定位诊断,73.2%做出了病因诊断。每位患者平均被要求进行4.8项检查,93项不同检查中的36项结果始终正常。文中讨论了这些发现的重要性。