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[跖痛症与足部神经病变。鉴别诊断]

[Metatarsalgia and neuropathies of the foot. Differential diagnosis].

作者信息

Pardal-Fernández José M, Rodríguez-Vázquez María

机构信息

Unidad de Electromiografía Clínica, Hospital General Universitario de Albacete, Albacete, España.

出版信息

Rev Neurol. 2011 Jan 1;52(1):37-44.

Abstract

INTRODUCTION

Metatarsalgia is the main symptom of a group of frequent ailments characterised by pain in the balls of the feet. Clinical knowledge and the availability of efficient complementary examinations are useful tools for the neurologist.

AIM

To describe the range of processes related with metatarsalgia and a basic diagnostic schema that allows the aetiology to be differentiated.

DEVELOPMENT

We perform an elementary review of the neurological anatomy of the foot and outline the different neuropathies affecting the region, as well as the extra neurological processes that could call for a differential diagnosis.

CONCLUSIONS

Familiarity with the pathologies responsible for metatarsalgias, whether they are neurological or not, is an enriching element for the diagnosis and management of these patients, as well as for greater efficiency in the referral among the medical professionals involved.

摘要

引言

跖痛症是一组常见疾病的主要症状,其特征为足趾球部疼痛。临床知识和有效的辅助检查手段对神经科医生而言是有用的工具。

目的

描述与跖痛症相关的一系列病症以及能区分病因的基本诊断模式。

进展

我们对足部神经解剖进行了基础回顾,概述了影响该区域的不同神经病变以及需要进行鉴别诊断的非神经病变。

结论

熟悉导致跖痛症的各种病变,无论其是否为神经病变,对于这些患者的诊断和管理以及提高相关医疗专业人员之间转诊的效率而言,都是有益的因素。

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