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[以假性脊髓空洞症形式出现的汉森神经炎。关于3例病例的临床、诊断和治疗思考]

[Hansen's neuritis in the form of pseudysyringomyelia. Clinical, diagnostic and therapeutic consideration a propos of 3 cases].

作者信息

Schmitt J, Barrucand D, Floquet J, Floquet A, Schmidt C

出版信息

Rev Neurol (Paris). 1976 Jan;132(1):33-49.

PMID:184510
Abstract

Three cases of neuropathic leprosy (one Moroccan, two non-colonial immigrants) enable attention to be drawn to two aspects of theproblem of Hansen's neuritis: 1) such cases should no longer be considered exceptional, infection occuring in countries where leprosy is endemic but the disease developing years later in any country; 2) among the various neurological aspects of neuritis due to Hansen's bacillus, great stress is laid on sensory disorders of the syringomyelic type, with thermalgesic dissociation; although these symptoms have been considered typical (our three cases are an illustration of this), they seem to occur fairly rarely and are the cause of difficulties in diagnosis as it is the last thing one would think of. Treatment of these neural forms is not encouraging, in spite of a therapeutic arsenal which in theory is considered effective.

摘要

三例神经性麻风(一例摩洛哥人,两例非殖民地移民)促使人们关注汉森神经炎问题的两个方面:1)此类病例不应再被视为罕见,感染发生在麻风流行的国家,但疾病多年后在任何国家发展;2)在由汉森杆菌引起的神经炎的各种神经学方面,严重强调了空洞型感觉障碍以及温度觉分离;尽管这些症状被认为是典型的(我们的三个病例就是例证),但它们似乎相当罕见,并且是诊断困难的原因,因为这是人们最想不到的。尽管理论上认为治疗手段有效,但这些神经型麻风的治疗效果并不乐观。

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