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扩展性神经性肌萎缩综合征

Extended neuralgic amyotrophy syndrome.

作者信息

Byrne E

出版信息

Aust N Z J Med. 1987 Feb;17(1):34-8. doi: 10.1111/j.1445-5994.1987.tb05046.x.

DOI:10.1111/j.1445-5994.1987.tb05046.x
PMID:3039953
Abstract

Neuralgic amyotrophy refers to an idiopathic syndrome where weakness and wasting occur in one limb, usually in the muscles innervated by the upper brachial plexus. Seven patients are presented who developed cranial nerve involvement (facial, spinal accessory) in the midst of a typical attack of neuralgic amyotrophy or who developed either recurrent brachial or brachial and lumbosacral plexopathies. An underlying demyelinating neuropathy was identified in one patient and two patients were herion addicts. These reports confirm that neuralgic amyotrophy may occasionally form part of a more extensive disorder of the peripheral nervous system, thereby providing indirect support for the role of a systemic immunological factor in pathoetiology.

摘要

神经性肌萎缩是指一种特发性综合征,其特征为单肢出现无力和萎缩,通常累及由臂丛上干神经支配的肌肉。本文报告了7例患者,他们在典型的神经性肌萎缩发作期间出现了颅神经受累(面神经、副神经),或者出现了复发性臂丛神经病变或臂丛与腰骶丛神经病变。1例患者被诊断为潜在的脱髓鞘性神经病,2例患者为海洛因成瘾者。这些报告证实,神经性肌萎缩偶尔可能是更广泛的周围神经系统疾病的一部分,从而为全身免疫因素在发病机制中的作用提供了间接支持。

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1
Extended neuralgic amyotrophy syndrome.扩展性神经性肌萎缩综合征
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Further regional variants of acute immune polyneuropathy. Bifacial weakness or sixth nerve paresis with paresthesias, lumbar polyradiculopathy, and ataxia with pharyngeal-cervical-brachial weakness.急性免疫性多发性神经病的其他区域变异型。伴有感觉异常的双侧面神经麻痹或展神经麻痹、腰骶部多发性神经根病以及伴有咽-颈-臂肌无力的共济失调。
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引用本文的文献

1
Clinical and pathophysiological concepts of neuralgic amyotrophy.神经痛性肌萎缩的临床和病理生理学概念。
Nat Rev Neurol. 2011 May 10;7(6):315-22. doi: 10.1038/nrneurol.2011.62.