特发性正中神经前骨间神经麻痹合并变应性肉芽肿性血管炎。

Spontaneous anterior interosseous nerve palsy with Churg-Strauss syndrome.

机构信息

Department of Orthopaedic Surgery, Kawasaki Municipal Kawasaki Hospital, 12-1 Shinkawa-dori, Kawasaki-ku, Kawasaki, Kanagawa 210-0013, Japan.

出版信息

Mod Rheumatol. 2010 Oct;20(5):514-7. doi: 10.1007/s10165-010-0304-8. Epub 2010 May 12.

DOI:10.1007/s10165-010-0304-8

PMID:20458608

Abstract

A 74-year-old woman diagnosed with Churg-Strauss syndrome (CSS) complained of difficulty in flexing her left thumb and index finger. Electromyography demonstrated isolated anterior interosseous nerve (AIN) palsy, with no other peripheral neuropathy. We diagnosed this case as spontaneous AIN palsy complicated with CSS, the first case of this kind. Surgical treatment should be considered if no sign of recovery is seen within six months of onset.

摘要

一位 74 岁女性被诊断患有变应性肉芽肿性血管炎（CSS），主诉左手拇指和食指弯曲困难。肌电图显示孤立性正中神经蚓状肌支（AIN）瘫痪，无其他周围神经病。我们诊断该病例为 CSS 合并自发性 AIN 瘫痪，为首例。如果发病后 6 个月内未见恢复迹象，应考虑手术治疗。