近神经针感觉神经传导在感觉性炎症性脱髓鞘性多发性神经病中的诊断价值。
Diagnostic value of the near-nerve needle sensory nerve conduction in sensory inflammatory demyelinating polyneuropathy.
机构信息
Department of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Department of Neurology, Ufuk University Medical School, Ankara, Turkey.
出版信息
Muscle Nerve. 2018 Mar;57(3):414-418. doi: 10.1002/mus.25761. Epub 2017 Nov 23.
INTRODUCTION
In this study we report the diagnostic value of the near-nerve needle sensory nerve conduction study (NNN-SNCS) in sensory inflammatory demyelinating polyneuropathy (IDP) in which the routine nerve conduction study was normal or non-diagnostic.
METHODS
The NNN-SNCS was performed to identify demyelination in the plantar nerves in 14 patients and in the median or ulnar nerve in 2 patients with sensory IDP.
RESULTS
In 16 patients with sensory IDP, routine NCSs were either normal or non-diagnostic for demyelination. Demyelination was identified by NNN-SNCS by dispersion and/or slow nerve conduction velocity (NCV) below the demyelination marker. Immunotherapy was initiated in 11 patients, 10 of whom improved or remained stable.
DISCUSSION
NNN-SNCS played an essential role in identifying demyelinaton in 16 patients with sensory IDP, leading to proper treatment. Muscle Nerve 57: 414-418, 2018.
简介
在这项研究中，我们报告了近神经针感觉神经传导研究（NNN-SNCS）在常规神经传导研究正常或非诊断性的感觉性炎症脱髓鞘性多发性神经病（IDP）中的诊断价值。
方法
对 14 例感觉性 IDP 患者的足底神经和 2 例正中神经或尺神经进行 NNN-SNCS，以确定脱髓鞘情况。
结果
16 例感觉性 IDP 患者的常规 NCS 检查结果正常或不能诊断脱髓鞘。通过 NNN-SNCS 可以识别脱髓鞘，表现为离散性和/或低于脱髓鞘标志物的缓慢神经传导速度（NCV）。11 例患者接受了免疫治疗，其中 10 例患者得到改善或稳定。
讨论
NNN-SNCS 在识别 16 例感觉性 IDP 患者的脱髓鞘方面发挥了重要作用，从而进行了适当的治疗。《肌肉神经》57：414-418，2018。
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