Amparo Gutierrez, MD Department of Neurology, Louisiana State University Health Science Center, 1542 Tulane Avenue, New Orleans, LA 70112, USA.
Curr Treat Options Neurol. 2009 Mar;11(2):85-9. doi: 10.1007/s11940-009-0011-y.
Neuralgic amyotrophy has a broad variety of clinical manifestations. Although it was initially thought to be a plexopathy, its diverse presentation can include isolated sensory nerves or even cranial nerves. Although neuralgic amyotrophy is usually a benign condition with a good recovery, pain can be a disabling feature. NSAIDs and short-term narcotics are appropriate treatments. There is lack of evidence whether the use of corticosteroids has an impact on the duration of the disease or the neuropathic pain. However, given the few adverse effects in a selective population and low cost, short-term steroids can be an option for the treatment of these patients.
神经痛性肌萎缩症有多种临床表现。虽然最初被认为是一种神经丛病变,但它的多种表现可以包括孤立的感觉神经甚至颅神经。尽管神经痛性肌萎缩症通常是一种良性疾病,预后良好,但疼痛可能是一个致残的特征。非甾体抗炎药和短期麻醉性镇痛药是合适的治疗方法。目前尚缺乏证据表明皮质类固醇的使用是否会影响疾病的持续时间或神经病理性疼痛。然而,鉴于在选择性人群中皮质类固醇的副作用较少且成本较低,短期使用类固醇可能是治疗这些患者的一种选择。