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神经电图中的A波:与其他迟发反应的鉴别诊断。

A waves in electroneurography: differential diagnosis with other late responses.

作者信息

Rampello Liborio, Rampello Luigi, Arcidiacono Antonio, Patti Francesco

机构信息

GF Ingrassia Department, Neurosciences Section, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy.

Biometec Department, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy.

出版信息

Neurol Sci. 2020 Dec;41(12):3537-3545. doi: 10.1007/s10072-020-04649-2. Epub 2020 Aug 17.

DOI:10.1007/s10072-020-04649-2
PMID:32808175
Abstract

Neurographic studies are an extension of clinical examination and are performed for the functional assessment of peripheral nerves. The study of motor and sensory conduction velocity and the presence, amplitude, morphology and symmetry of the response to electrical stimulation are crucial for the diagnosis and management of peripheral neuromuscular disorders. Neurography also plays an important role in the search for so-called late responses comprising the F wave, H reflex, axonal response and A wave. By analysing the parameters of each late wave, this paper addresses the pathophysiological features and the most common conditions impairing the physiology of late responses, with a special focus on A waves.

摘要

神经电生理检查是临床检查的延伸,用于评估周围神经的功能。运动和感觉传导速度以及电刺激反应的存在、波幅、形态和对称性的研究对于周围神经肌肉疾病的诊断和治疗至关重要。神经电生理检查在寻找包括F波、H反射、轴索性反应和A波在内的所谓迟发电反应方面也发挥着重要作用。通过分析每个迟发电波的参数,本文探讨了迟发电反应的病理生理特征以及影响其生理功能的最常见情况,特别关注A波。

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A waves in electroneurography: differential diagnosis with other late responses.神经电图中的A波:与其他迟发反应的鉴别诊断。
Neurol Sci. 2020 Dec;41(12):3537-3545. doi: 10.1007/s10072-020-04649-2. Epub 2020 Aug 17.
2
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本文引用的文献

1
Assessment of cutaneous axon-reflex responses to evaluate functional integrity of autonomic small nerve fibers.评估皮肤轴突反射反应以评估自主神经小神经纤维的功能完整性。
Neurol Sci. 2020 Jul;41(7):1685-1696. doi: 10.1007/s10072-020-04293-w. Epub 2020 Mar 3.
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Axonal form of Guillain-Barré syndrome in a patient receiving oxaliplatin-based chemotherapy.
Neurol Sci. 2020 Jun;41(6):1611-1613. doi: 10.1007/s10072-019-04199-2. Epub 2020 Jan 2.
3
F wave, A wave, H reflex, and blink reflex.F波、A波、H反射和瞬目反射。
Handb Clin Neurol. 2019;160:225-239. doi: 10.1016/B978-0-444-64032-1.00015-1.
4
Causes of chronic neuropathies: a single-center experience.慢性神经病变的病因:单中心经验。
Neurol Sci. 2019 Aug;40(8):1611-1617. doi: 10.1007/s10072-019-03899-z. Epub 2019 Apr 18.
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A review of electrophysiological studies of lower motor neuron involvement in amyotrophic lateral sclerosis.肌萎缩侧索硬化症中运动神经元受累的电生理学研究综述。
Neurol Sci. 2019 Jun;40(6):1125-1136. doi: 10.1007/s10072-019-03832-4. Epub 2019 Mar 15.
6
A Waves in Diabetic Neuropathy: Pathophysiology and Neurographic Images.
J Clin Neurophysiol. 2019 Mar;36(2):93-96. doi: 10.1097/WNP.0000000000000515.
7
F-wave of single firing motor units: correct or misleading criterion of motoneuron excitability in humans?单发放运动单位的F波:人类运动神经元兴奋性的正确或误导性标准?
Neurol Sci. 2017 Mar;38(3):465-472. doi: 10.1007/s10072-016-2796-2. Epub 2016 Dec 31.
8
Admission neurophysiological abnormalities in Guillain-Barré syndrome: A single-center experience.吉兰-巴雷综合征入院时的神经生理学异常:单中心经验
Clin Neurol Neurosurg. 2015 Aug;135:6-10. doi: 10.1016/j.clineuro.2015.05.001. Epub 2015 May 11.
9
Bilateral sciatic neuropathy misdiagnosed as critical illness neuropathy: a case report.双侧坐骨神经病变误诊为危重病性神经病:一例报告
Neurol Sci. 2015 Sep;36(9):1707-8. doi: 10.1007/s10072-015-2241-y. Epub 2015 May 20.
10
Chronic inflammatory demyelinating polyneuropathy mimicking an acute painful diabetic neuropathy.模仿急性疼痛性糖尿病性神经病变的慢性炎症性脱髓鞘性多发性神经病。
Neurol Sci. 2015 Aug;36(8):1509-10. doi: 10.1007/s10072-015-2122-4. Epub 2015 Feb 28.