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周围神经兴奋性过高综合征的当前治疗选择

Current Treatment Options for Peripheral Nerve Hyperexcitability Syndromes.

作者信息

Elangovan Cheran, Morawo Adeolu, Ahmed Aiesha

机构信息

Department of Neurology, Penn State University, 30 Hope Drive, EC 037, Hershey, PA, 17033, USA.

出版信息

Curr Treat Options Neurol. 2018 May 28;20(7):23. doi: 10.1007/s11940-018-0510-9.

Abstract

PURPOSE OF REVIEW

Peripheral nerve hyperexcitability (PNH) syndromes are divided into primary and secondary groups based on the presence or absence of demonstrable peripheral nerve disease. In this review, we systematically evaluate the evidence for current therapies and supportive managements based on autoimmune, paraneoplastic, and genetic components in pathophysiology reported in the literature.

RECENT FINDINGS

Current therapy options are based on symptomatic management as well as focusing the underlying immune/genetic/paraneoplastic pathology by immunosuppressants, chemotherapy, and surgery. Further research is desired to provide treatment options geared specifically towards addressing PNH. Supportive care can also be an area for future research.

摘要

综述目的

根据是否存在可证实的周围神经疾病,周围神经兴奋性增高(PNH)综合征分为原发性和继发性两类。在本综述中,我们基于文献报道的病理生理学中的自身免疫、副肿瘤和遗传成分,系统评估当前治疗方法和支持性管理的证据。

最新发现

目前的治疗选择基于症状管理,以及通过免疫抑制剂、化疗和手术针对潜在的免疫/遗传/副肿瘤病理。需要进一步研究以提供专门针对PNH的治疗选择。支持性护理也可能是未来研究的一个领域。

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