Grogan Patrick M, Katz Jonathan S
Department of Neurology, Wilford Hall Medical Center, San Antonio, TX 78236, USA.
Neurol Clin. 2005 May;23(2):377-96. doi: 10.1016/j.ncl.2004.12.003.
Many substances, organic and manufactured, may induce peripheral nerve damage when exposed to them. The expected clinical phenotype is of a distal, sensory or sensorimotor polyneuropathy, often painful, with axonal characteristics on electrodiagnostic and histopathologic analysis. Treatment is limited; often, the only effective management is supportive care and avoidance from or removal of the offending toxin. Fortunately, the majority of toxic neuropathies are self-limited and improves gradually after toxin elimination.
许多有机和人造物质在接触时可能会诱发周围神经损伤。预期的临床表型为远端感觉或感觉运动性多发性神经病,通常伴有疼痛,在电诊断和组织病理学分析中具有轴索性特征。治疗方法有限;通常,唯一有效的处理方式是支持性护理,并避免接触或去除有害毒素。幸运的是,大多数中毒性神经病是自限性的,在毒素清除后会逐渐改善。