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[海洛因成瘾所致腰骶丛神经病的皮质类固醇成功治疗。临床症状、电生理学、治疗及随访]

[Successful corticoid treatment of lumbosacral plexus neuropathy in heroin abuse. Clinical aspects, electrophysiology, therapy and follow-up].

作者信息

Herdmann J, Benecke R, Meyer B U, Freund H J

机构信息

Neurologische Universitätsklinik, Düsseldorf.

出版信息

Nervenarzt. 1988 Nov;59(11):683-6.

PMID:2850503
Abstract

A 33 year old heroin addict developed a lumbosacral plexopathy which clinically and electrophysiologically resembled an "idiopathic lumbosacral plexus neuropathy". He complained of severe neuralgic pain, marked paresis, and distinct sensory loss in the right leg. The plexopathy was accompanied by rhabdomyolysis. He was treated with corticosteroids in high dosage. Within 3 days the disabling symptoms had almost completely disappeared. Clinical and electrophysiological findings are described in the course of the disease and are compared with the data in the literature.

摘要

一名33岁的海洛因成瘾者患上了腰骶丛神经病,其临床和电生理表现类似于“特发性腰骶丛神经病”。他主诉右腿有严重的神经痛、明显的肌无力和明显的感觉丧失。该丛神经病伴有横纹肌溶解。他接受了大剂量的皮质类固醇治疗。3天内,致残症状几乎完全消失。文中描述了该疾病过程中的临床和电生理发现,并与文献数据进行了比较。

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