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具有挑战性的疼痛综合征: Parsonage-Turner综合征。

Challenging pain syndromes: Parsonage-Turner syndrome.

作者信息

Smith Clark C, Bevelaqua Anna-Christina

机构信息

Department of Rehabilitation and Regenerative Medicine, Columbia University Medical Center, New York Presbyterian Hospital, 180 Fort Washington Avenue, New York, NY 10032, USA.

Department of Rehabilitation and Regenerative Medicine, Columbia University Medical Center, New York Presbyterian Hospital, 180 Fort Washington Avenue, New York, NY 10032, USA.

出版信息

Phys Med Rehabil Clin N Am. 2014 May;25(2):265-77. doi: 10.1016/j.pmr.2014.01.001. Epub 2014 Mar 18.

DOI:10.1016/j.pmr.2014.01.001
PMID:24787332
Abstract

Parsonage-Turner syndrome (PTS) is a rare disorder typically characterized by an abrupt onset of upper extremity pain followed by progressive neurologic deficits, including weakness, atrophy, and occasionally sensory abnormalities. The exact cause and pathophysiology of PTS are complex and incompletely understood. Autoimmune, genetic, infectious, and mechanical processes have all been implicated. No specific treatments have been proven to reduce neurologic impairment or improve the prognosis of PTS. Most patients with PTS are treated with a multidisciplinary approach that includes both physical therapy and pharmacologic treatment, often with multiple agents. Further research is needed.

摘要

帕森吉-特纳综合征(PTS)是一种罕见疾病,其典型特征为上肢疼痛突然发作,随后出现进行性神经功能缺损,包括无力、萎缩,偶尔还有感觉异常。PTS的确切病因和病理生理学很复杂,尚未完全明确。自身免疫、遗传、感染和机械性过程均与之相关。尚无已证实可减轻神经功能损害或改善PTS预后的特异性治疗方法。大多数PTS患者采用多学科方法治疗,包括物理治疗和药物治疗,通常使用多种药物。还需要进一步研究。

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