Taguchi Takato, Matsubara Shiro, Miyamoto Kazuhito, Mizutani Toshio, Hayashi Hideaki, Arakaki Rieko, Hayashi Yoshio
Department of Neurology, Tokyo Metropolitan Neurological Hospital, 2-6-1 Musashidai, Fuchu, Tokyo 183-0042, Japan.
No To Shinkei. 2004 Oct;56(10):877-80.
A 53-year old woman was admitted with of sensory disturbance and weakness of lower limbs which had progressed slowly in the previous ten years. A diagnosis of sensory ataxic neuropathy associated with Sjögren's syndrome was made. A sural nerve biopsy showed marked loss of myelinated fibers. A muscle biopsy revealed atrophy of muscle fibers along with perivascular cellular infiltration. The dorsal root ganglia have been considered to be the main site affected in the ataxic neuropathy in Sjögren's syndrome. However, the evidence for that was meager. The perivascular inflammatory change observed in the muscle may also have existed in the peripheral nervous system including the dorsal root ganglia.
一名53岁女性因下肢感觉障碍和无力入院,这些症状在过去十年中缓慢进展。诊断为与干燥综合征相关的感觉性共济失调性神经病变。腓肠神经活检显示有髓纤维明显缺失。肌肉活检显示肌纤维萎缩伴血管周围细胞浸润。背根神经节被认为是干燥综合征共济失调性神经病变的主要受累部位。然而,支持这一观点的证据不足。在肌肉中观察到的血管周围炎症改变也可能存在于包括背根神经节在内的周围神经系统中。