Parsonage-Turner综合征的电诊断自然病史。
The electrodiagnostic natural history of parsonage-turner syndrome.
作者信息
Feinberg Joseph H, Nguyen Elizabeth T, Boachie-Adjei Kwadwo, Gribbin Caitlin, Lee Steve K, Daluiski Aaron, Wolfe Scott W
机构信息
Department of Physiatry, Hospital for Special Surgery, 429 East 75th Street, Third Floor, New York, New York, 10021, USA.
Hand and Upper Extremity Surgery, Department of Orthopedics, Hospital for Special Surgery, New York, New York, USA.
出版信息
Muscle Nerve. 2017 Oct;56(4):737-743. doi: 10.1002/mus.25558. Epub 2017 Apr 13.
INTRODUCTION
Recovery from Parsonage-Turner syndrome (PTS) is generally favorable, although recovery times have been shown to vary, in part because there are no universally accepted outcome measures. In this study, we describe the electrodiagnostic natural history of this condition based on objective electrodiagnostic testing, and propose that complete electrodiagnostic recovery can be seen as early as 1 year.
METHODS
Twenty-six subjects with 29 affected nerves confirmed as PTS were followed every 3 months for electrodiagnostic testing, or until full reinnervation was confirmed.
RESULTS
Twenty-three cases (79.3%) demonstrated electrodiagnostic evidence of initial recovery at a mean of 5.8 months. Nine cases (31%) showed complete electrodiagnostic recovery at a mean of 1 year. When excluding cases with <1 year of follow-up, 52.9% achieved complete electrodiagnostic recovery.
CONCLUSIONS
In contrast to previous reports, full electrodiagnostic recovery of PTS was demonstrated at a mean of 1 year in > 50% of patients with longer term follow-up. Muscle Nerve 56: 737-743, 2017.
引言
帕森吉-特纳综合征（PTS）通常预后良好，尽管恢复时间有所不同，部分原因是尚无普遍接受的疗效评估指标。在本研究中，我们基于客观的电诊断测试描述了该疾病的电诊断自然病程，并提出电诊断完全恢复最早可在1年内出现。
方法
对26例确诊为PTS且有29条受累神经的受试者每3个月进行一次电诊断测试，或直至确认完全再支配。
结果
23例（79.3%）在平均5.8个月时出现电诊断初始恢复的证据。9例（31%）在平均1年时电诊断完全恢复。排除随访时间不足1年的病例后，52.9%实现了电诊断完全恢复。
结论
与既往报道不同，在随访时间较长的患者中，超过50%的患者平均在1年时实现了PTS的电诊断完全恢复。《肌肉与神经》56: 737 - 743, 2017年。
Zotero 插件