Lee Kyung Soo, Han Seung Hoon
From the Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea.
Medicine (Baltimore). 2015 Jan;94(3):e392. doi: 10.1097/MD.0000000000000392.
Acute motor axonal neuropathy (AMAN) is a variant of Guillain-Barre syndrome. It has been reported to have no sensory symptoms and is diagnosed by typical electrophysiological findings of low-amplitude or unobtainable compound muscle action potentials with normal sensory nerve action potentials. However, the authors experienced atypical case of general electrophysiological findings of AMAN with pain and paresthesia and presented it. This case implies that clinician should be on the alert to atypical sensory symptoms from the classical presentation of AMAN even if the patient is diagnosed with AMAN electrophysiologically and should consider proper treatment options based on clinical presentations.
急性运动轴索性神经病(AMAN)是吉兰-巴雷综合征的一种变异型。据报道,该病症无感觉症状,通过典型的电生理检查结果进行诊断,即复合肌肉动作电位波幅降低或无法引出,而感觉神经动作电位正常。然而,作者遇到了一例具有疼痛和感觉异常等非典型电生理表现的AMAN病例并予以报道。该病例提示,即使患者经电生理检查确诊为AMAN,临床医生对于AMAN典型表现之外的非典型感觉症状也应保持警惕,并应根据临床表现考虑合适的治疗方案。