Intermountain Health Care Neurosciences Center, 5171 South Cottonwood Street, #810, Murray, UT 84107, USA.
Curr Neurol Neurosci Rep. 2012 Feb;12(1):84-91. doi: 10.1007/s11910-011-0239-2.
Peripheral neuropathy is a common clinical problem in neurology and laboratory testing is an integral part of diagnosis. In the past few years, practice parameters have been published to establish an evidence-based guide to neuropathy testing. There are many tests that are common and accepted in practice, but there is no clear mandate on which tests are necessary. This article reviews recent practice parameter publications as well as other updates in laboratory testing for peripheral neuropathy, including the roles of lipid profile, genetic testing, antibody titers, and B(12) testing in a specific dopamine-treated Parkinson's patients. These can serve as recommendations to help guide laboratory testing.
周围神经病是神经病学中的一个常见临床问题,实验室检测是诊断的一个组成部分。在过去的几年中,已经发表了实践参数来建立基于证据的神经病学检测指南。有许多在实践中常见且被接受的检测方法,但没有明确规定哪些检测是必要的。本文回顾了最近的实践参数出版物以及周围神经病实验室检测的其他更新,包括血脂谱、基因检测、抗体滴度和特定多巴胺治疗的帕金森病患者的 B(12)检测在特定患者中的作用。这些可以作为帮助指导实验室检测的建议。