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美国电诊断医学学会病例报告#12:腓骨头处腓总神经单神经病

AAEE case report #12: Common peroneal mononeuropathy at the fibular head.

作者信息

Wilbourn A J

出版信息

Muscle Nerve. 1986 Nov-Dec;9(9):825-36. doi: 10.1002/mus.880090906.

DOI:10.1002/mus.880090906
PMID:3023997
Abstract

Common peroneal mononeuropathies, usually located at the fibular head, are one of the many causes of foot-drop, a condition often evaluated in the electromyography laboratory. If appropriate nerve conduction studies are performed and particular muscles studied on needle myography, a satisfactory diagnosis can almost always be provided for what may be a perplexing problem clinically. With all peroneal mononeuropathies, the compound muscle action potential amplitude of the peroneal motor tibialis anterior nerve conduction studies, stimulating distal to the fibular head, is a semi-quantitative measure of the number of viable fibers supplying the tibialis anterior and allows for accurate prognostication regarding the foot-drop.

摘要

常见的腓总单神经病通常位于腓骨头处,是导致足下垂的众多原因之一,足下垂是一种常在肌电图实验室进行评估的病症。如果进行了适当的神经传导研究,并在针极肌电图检查中对特定肌肉进行了研究,那么对于临床上可能令人困惑的问题,几乎总能做出满意的诊断。对于所有腓总单神经病,在腓骨小头远端进行刺激的腓总运动胫前神经传导研究中的复合肌肉动作电位幅度,是供应胫前肌的存活纤维数量的半定量指标,并且能够对足下垂做出准确的预后判断。

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引用本文的文献

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Compound nerve action potential of common peroneal nerve and sural nerve action potential in common peroneal neuropathy.腓总神经复合神经动作电位及腓总神经病变时的腓肠神经动作电位
J Korean Med Sci. 2008 Feb;23(1):117-21. doi: 10.3346/jkms.2008.23.1.117.
2
Ganglionic cyst of the deep peroneal nerve: description of a case.腓深神经腱鞘囊肿:一例病例报告
Ital J Neurol Sci. 1996 Feb;17(1):83-6. doi: 10.1007/BF01995715.