Hirsch E, Simon M, Villemin B, Coumaros D, Warter J M, Jesel M
Clinique neurologique, CHU Strasbourg, Hospices Civils, France.
Neurophysiol Clin. 1988 Sep;18(5):469-75. doi: 10.1016/s0987-7053(88)80057-1.
An autosomal recessive disorder, abetalipoproteinemia or Bassen-Kornzweig disease, concerning two sisters are described. This disorder, clinically similar to Friedreich ataxia, should be examined by electrophysiological and laboratory procedures because of the possibility of treatment by high doses of vitamin A and E. The routine electrophysiological examination of the two sisters revealed a degenerative spinocerebellar and peripheral nervous process which confirmed the damage of large myelinated fibers, as reported in the literature: neurogenic muscular atrophy of distal muscles, polyphasic motor unit potentials, moderately decrease of lower motor and sensory nerve conduction rates, and reduced amplitude of evoked responses in sensory nerves and muscles. We stress out the diagnostic value of the heterogenous conduction decrease in the distal motor fibers, signs of processes of demyelination or distal regeneration.
本文描述了两姐妹患有的一种常染色体隐性疾病——无β脂蛋白血症或巴森-科尔兹韦格病。这种疾病临床上与弗里德赖希共济失调相似,由于大剂量维生素A和E治疗的可能性,应通过电生理和实验室检查进行诊断。对这两姐妹进行的常规电生理检查显示,存在脊髓小脑和周围神经退行性病变,证实了文献中报道的大髓鞘纤维损伤:远端肌肉的神经源性肌肉萎缩、多相运动单位电位、下运动和感觉神经传导速度中度降低,以及感觉神经和肌肉中诱发电位幅度降低。我们强调了远端运动纤维传导异质性降低、脱髓鞘或远端再生过程迹象的诊断价值。