Gonzalez Natalia L, Hobson-Webb Lisa D
Department of Neurology/Neuromuscular Division, Duke University Hospital, DUMC 3403, Durham, NC 27710, USA.
Clin Neurophysiol Pract. 2019 Jul 12;4:148-163. doi: 10.1016/j.cnp.2019.04.006. eCollection 2019.
Neuromuscular ultrasound (NMUS) is becoming a standard element in the evaluation of peripheral nerve and muscle disease. When obtained simultaneously to electrodiagnostic studies, it provides dynamic, structural information that can refine a diagnosis or identify a structural etiology. NMUS can improve patient care for those with mononeuropathies, polyneuropathy, motor neuron disease and muscle disorders. In this article, we present a practical guide to the basics of NMUS and its clinical application. Basic ultrasound physics, scanning techniques and clinical applications are reviewed, along with current challenges.
神经肌肉超声(NMUS)正成为评估周围神经和肌肉疾病的标准要素。与电诊断研究同时进行时,它能提供动态的结构信息,有助于完善诊断或确定结构病因。NMUS可改善单神经病、多神经病、运动神经元病和肌肉疾病患者的治疗。在本文中,我们提供了一份关于NMUS基础及其临床应用的实用指南。文中回顾了超声物理学基础、扫描技术、临床应用以及当前面临的挑战。