Cruz Martínez A, González P, Garza E, Bescansa E, Anciones B
Sección de Electromiografía (Servicio de Neurofisiología Clínica),Hospital, La Paz, Madrid, Spain.
Muscle Nerve. 1987 Sep;10(7):616-20. doi: 10.1002/mus.880100705.
Neurologic and electrophysiologic findings in a 57-year-old man with Whipple's disease are reported. The patient had severe proximal weakness and weight loss of more than 20 kg. Conventional electromyography and nerve conduction studies suggested mild neuropathy in distal segments of lower limbs and myopathy in proximal muscles. Automatic analysis of the electromyogram in proximal muscles was consistent with myopathy. Conduction velocity of muscle fibers in situ showed low propagation velocity of the impulse. Weakness, weight loss, and all the electrophysiologic parameters improved after treatment, including a compression of the peroneal nerve at the knee, perhaps related to weight loss (slimmer's paralysis).
报告了一名57岁患惠普尔病男性的神经学和电生理学检查结果。该患者有严重的近端肌无力，体重减轻超过20公斤。传统肌电图和神经传导研究提示下肢远端节段轻度神经病变以及近端肌肉肌病。近端肌肉肌电图的自动分析结果与肌病相符。原位肌肉纤维的传导速度显示冲动传播速度较低。治疗后肌无力、体重减轻及所有电生理参数均有改善，包括膝部腓总神经受压，这可能与体重减轻有关（消瘦性麻痹）。
