Trivedi Jaya R, Phillips Lauren, Chhabra Avneesh
Department of Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, Texas.
Department of Radiology, UT Southwestern Medical Center, Dallas, Texas.
Semin Musculoskelet Radiol. 2015 Apr;19(2):130-6. doi: 10.1055/s-0035-1545076. Epub 2015 Mar 12.
Polyneuropathies can be classified as either primarily demyelinating or axonal, and further as hereditary or acquired. It is important to recognize acquired neuropathies because some are amenable to treatment. Clinical findings and electrophysiology are used in the routine diagnosis of these conditions. Magnetic resonance neurography (MRN) is a helpful supplementary diagnostic tool. This article discusses the typical clinical findings, electrophysiology findings, and MRN appearances of common hereditary or acquired neuropathies such as chronic inflammatory demyelinating neuropathy, multifocal motor neuropathy, diabetic neuropathy, chemotherapy-induced neuropathy, and postsurgical neuropathy.
多发性神经病可分为原发性脱髓鞘性或轴索性，还可进一步分为遗传性或获得性。认识到获得性神经病很重要，因为有些是可以治疗的。临床发现和电生理检查用于这些疾病的常规诊断。磁共振神经成像（MRN）是一种有用的辅助诊断工具。本文讨论了常见遗传性或获得性神经病（如慢性炎症性脱髓鞘性神经病、多灶性运动神经病、糖尿病性神经病、化疗引起的神经病和术后神经病）的典型临床发现、电生理检查结果及MRN表现。
