Kelly John J
Department of Neurology, The George Washington University Medical Center, Washington, DC, USA.
Rev Neurol Dis. 2004 Fall;1(4):190-201.
The first of this 3-part series on the diagnosis and management of peripheral neuropathy focused on the recognition of neuropathy and its clinical and laboratory characterization as essential to determining etiology. This approach allows for the construction of a differential diagnosis that can be narrowed by subsequent diagnostic testing. This installment, along with the final one, will focus on recognition and management of common neuropathies likely to be seen by the average practitioner. Neuropathies covered in this second part include diabetic, autoimmune and inflammatory, toxic, neuropathies associated with plasma cell dyscrasias, and paraneoplastic neuropathies.
这个关于周围神经病变诊断与管理的系列文章共三部分,第一部分着重讲述了认识神经病变及其临床和实验室特征对于确定病因至关重要。这种方法有助于构建鉴别诊断,后续的诊断测试可使其范围缩小。本期以及最后一期将聚焦于普通从业者可能会遇到的常见神经病变的识别与管理。第二部分涵盖的神经病变包括糖尿病性、自身免疫性和炎症性、中毒性、与浆细胞异常增殖相关的神经病变以及副肿瘤性神经病变。