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11例由烯丙哌三嗪引起的神经病变,其中1例患有视神经病变。

[11 cases of neuropathy induced by almitrine, of which one had optic neuropathy].

作者信息

Blondel M, Arnott G, Defoort S, Bouchez B, Persuy P, Masingue M, Hache J C, Krivosic I

出版信息

Rev Neurol (Paris). 1986;142(8-9):683-8.

PMID:2880378
Abstract

The only etiologic factor retained in 11 patients with sensory or sensory-motor neuropathy was almitrine therapy. In one patient there was in addition an optic neuropathy. The reduction in visual acuity in this patient coincided with the onset of the sensory-motor neuropathy of lower limbs after treatment with 100 mg/day of almitrine over a 2-year period. No other metabolic, inflammatory, toxic, vascular or immunologic cause was found. There was a moderate chronic respiratory insufficiency. Visual recuperation started one month after the arrest of almitrine treatment and was satisfactory 7 months later. The other 10 patients had neuropathy of limbs without visual disorders. Neuromuscular biopsy in one case showed lesions to be of the axonal type.

摘要

在11例感觉性或感觉运动性神经病变患者中,唯一保留的病因是阿米三嗪治疗。有1例患者还合并视神经病变。该患者视力下降与在2年期间每日服用100 mg阿米三嗪治疗后下肢感觉运动性神经病变的发作同时出现。未发现其他代谢、炎症、中毒、血管或免疫方面的病因。存在中度慢性呼吸功能不全。在停用阿米三嗪治疗1个月后视力开始恢复,7个月后恢复情况良好。其他10例患者有肢体神经病变但无视觉障碍。1例患者的神经肌肉活检显示病变为轴索性。

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