Kulisevsky J, Martí-Fàbregas J, Grau J M
Hospital de la Santa Creu i Sant Pau, Department of Neurology, Spain.
J Neurol Neurosurg Psychiatry. 1992 Jul;55(7):626-7. doi: 10.1136/jnnp.55.7.626.
Two patients are presented with muscle spasms in an amputation stump. Neither patient experienced neuropathic pain nor phantom sensations, though phantom sensory phenomena, severe pain, and lack of response to treatment is characteristic of reported cases. One patient, a 75 year old man, has had myoclonic activity of the stump for more than two years, and the other, a 79 year old woman, recovered spontaneously after three months and is symptom free after a one year follow up. We emphasise the lack of association with pain and the need to consider spontaneous improvement when therapy is evaluated.
本文报告了两例截肢残端出现肌肉痉挛的患者。两名患者均未经历神经性疼痛或幻肢感觉，尽管据报道此类病例的特征是存在幻肢感觉现象、剧痛且治疗无效。一名患者为75岁男性，其残端肌阵挛活动已持续两年多；另一名患者为79岁女性，三个月后自行康复，随访一年后无症状。我们强调此类情况与疼痛无关，且在评估治疗时需要考虑自发改善的情况。
