Bragg Julian A, Benatar Michael G
Department of Neurology, Emory University, School of Medicine, Atlanta, Georgia 30322, USA.
Muscle Nerve. 2008 Dec;38(6):1599-603. doi: 10.1002/mus.21186.
Most current diagnostic criteria for chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) do not make use of sensory nerve conduction studies (NCSs). To investigate if surface sensory NCSs are clinically relevant in differentiating CIDP from axonal polyneuropathy, we conducted a retrospective cohort study of patients referred for electrodiagnostic testing to evaluate for CIDP. We found that sensory conduction velocity (CV) slowing is a highly specific, albeit insensitive, marker for differentiating CIDP from axonal polyneuropathy.
目前大多数慢性炎症性脱髓鞘性多发性神经根神经病(CIDP)的诊断标准并未采用感觉神经传导研究(NCS)。为了研究表面感觉NCS在鉴别CIDP与轴索性多发性神经病方面是否具有临床相关性,我们对因电诊断测试前来评估CIDP的患者进行了一项回顾性队列研究。我们发现,感觉神经传导速度(CV)减慢是将CIDP与轴索性多发性神经病区分开来的一个高度特异性(尽管不敏感)的指标。