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[肌萎缩侧索硬化症的治愈:一例报告]

[Healing of Amyotrophic Lateral Sclerosis: A Case Report].

作者信息

Mangelsdorf Inge, Walach Harald, Mutter Joachim

出版信息

Complement Med Res. 2017;24(3):175-181. doi: 10.1159/000477397. Epub 2017 Jun 12.

Abstract

BACKGROUND

Amyotrophic lateral sclerosis (ALS) is a devastating disease leading to death within 3-5 years in most cases. New approaches to treating this disease are needed. Here, we report a successful therapy.

CASE REPORT

In a 49-year-old male patient suffering from muscle weakness and fasciculations, progressive muscular atrophy, a variant of ALS, was diagnosed after extensive examinations ruling out other diseases. Due to supposed mercury exposure from residual amalgam, the patient's teeth were restored. Then, the patient received sodium 2,3-dimercaptopropanesulfate (DMPS; overall 86 × 250 mg in 3 years) in combination with α-lipoic acid and followed by selenium. In addition, he took vitamins and micronutrients and kept a vegetarian diet. The excretion of metals was monitored in the urine. The success of the therapy was followed by scoring muscle weakness and fasciculations and finally by electromyography (EMG) of the affected muscles. First improvements occurred after the dental restorations. Two months after starting therapy with DMPS, the mercury level in the urine was increased (248.4 µg/g creatinine). After 1.5 years, EMG confirmed the absence of typical signs of ALS. In the course of 3 years, the patient recovered completely.

CONCLUSIONS

The therapy described here is a promising approach to treating some kinds of motor neuron disease and merits further evaluation in rigorous trials.

摘要

背景

肌萎缩侧索硬化症(ALS)是一种毁灭性疾病,大多数情况下会在3至5年内导致死亡。需要新的方法来治疗这种疾病。在此,我们报告一种成功的治疗方法。

病例报告

一名49岁男性患者,出现肌肉无力和肌束震颤,经全面检查排除其他疾病后,被诊断为ALS的一种变异型——进行性肌肉萎缩。由于怀疑残留汞合金导致汞暴露,该患者的牙齿进行了修复。然后,患者接受了2,3 - 二巯基丙磺酸钠(DMPS;3年内共86×250毫克)联合α - 硫辛酸治疗,随后补充硒。此外,他还服用维生素和微量营养素,并保持素食饮食。监测尿液中的金属排泄情况。通过对肌肉无力和肌束震颤进行评分,最后对受影响肌肉进行肌电图(EMG)检查来跟踪治疗效果。牙齿修复后首先出现改善。开始使用DMPS治疗两个月后,尿液中的汞水平升高(248.4微克/克肌酐)。1.5年后,EMG证实不存在ALS的典型体征。在3年的病程中,患者完全康复。

结论

本文所述的治疗方法是治疗某些类型运动神经元疾病的一种有前景的方法,值得在严格试验中进一步评估。

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