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神经生理学评估在马凡综合征患者中的应用。

Neurophysiological assessment in a patient affected by Marfan syndrome.

机构信息

IRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.

出版信息

J Int Med Res. 2020 Dec;48(12):300060520979213. doi: 10.1177/0300060520979213.

DOI:10.1177/0300060520979213
PMID:33342329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7871285/
Abstract

BACKGROUND

Marfan syndrome (MS) is a hereditary connective tissue disorder characterized by different multiorgan patterns. The guidelines for MS diagnosis do not highlight the usefulness-or even the use-of any neurophysiological techniques for diagnosing this disease. Moreover, few neurophysiological studies assessing the central and peripheral nervous systems in MS subjects have been reported to date.Case presentation: We describe a male patient affected by MS. To assess sensory and nociceptive pathways in this patient, a neurophysiological assessment was performed using electroencephalogram, nerve conduction studies, and somatosensory and laser-evoked potentials. To the best of our knowledge, this is the first published case report to evaluate the role of evoked potential assessments for the study of sensory and nociceptive pathways in MS.

CONCLUSION

Future studies should investigate the use of a complete neurophysiological approach for the clinical and therapeutic management of MS patients in a large sample.

摘要

背景

马凡综合征(MS)是一种遗传性结缔组织疾病,其特征是多种器官模式。MS 的诊断指南并未强调任何神经生理学技术在诊断这种疾病方面的有用性,甚至没有提到这些技术的使用。迄今为止,很少有神经生理学研究报告评估 MS 患者的中枢和周围神经系统。

病例介绍

我们描述了一名患有 MS 的男性患者。为了评估该患者的感觉和痛觉通路,我们使用脑电图、神经传导研究以及体感和激光诱发电位进行了神经生理学评估。据我们所知,这是第一篇发表的病例报告,评估了诱发电位评估在 MS 感觉和痛觉通路研究中的作用。

结论

未来的研究应在大样本中调查完整的神经生理学方法在 MS 患者的临床和治疗管理中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ab/7871285/48312de0ced0/10.1177_0300060520979213-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ab/7871285/48312de0ced0/10.1177_0300060520979213-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ab/7871285/48312de0ced0/10.1177_0300060520979213-fig1.jpg

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本文引用的文献

1
Features of Marfan syndrome not listed in the Ghent nosology - the dark side of the disease.《根特分类法》未列出的马凡综合征特征——该疾病的阴暗面。
Expert Rev Cardiovasc Ther. 2019 Dec;17(12):883-915. doi: 10.1080/14779072.2019.1704625.
2
A case report on crossed aphasia in dextrals: Consideration about clinical features and neural network.一例右利手交叉性失语病例报告:关于临床特征及神经网络的思考
Medicine (Baltimore). 2019 Oct;98(43):e17660. doi: 10.1097/MD.0000000000017660.
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Characterization of pain, disability, and psychological burden in Marfan syndrome.
马凡综合征中疼痛、功能障碍及心理负担的特征分析
Am J Med Genet A. 2017 Feb;173(2):315-323. doi: 10.1002/ajmg.a.38051. Epub 2016 Nov 14.
4
Revised Ghent Criteria is Comparable to Original Diagnostic Criteria for Marfan Syndrome with Increased Ability to Clinically Diagnose Related Disorders.修订后的根特标准与马凡综合征的原始诊断标准相当,临床诊断相关疾病的能力有所提高。
J Med Assoc Thai. 2016 Jan;99(1):34-9.
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Systematic review of chronic pain in persons with Marfan syndrome.马凡氏综合征患者慢性疼痛的系统评价
Clin Genet. 2016 Jun;89(6):647-58. doi: 10.1111/cge.12699. Epub 2016 Jan 25.
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Assessment of nociceptive system in vegetative and minimally conscious state by using laser evoked potentials.利用激光诱发电位评估植物状态和微意识状态下的伤害性感受系统。
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The Incidence and Severity of Physical Pain Symptoms in Marfan Syndrome: A Survey of 993 Patients.马凡综合征患者身体疼痛症状的发生率及严重程度:993例患者的调查
Clin J Pain. 2015 Dec;31(12):1080-6. doi: 10.1097/AJP.0000000000000202.
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The revised Ghent nosology for the Marfan syndrome.修订版马凡综合征根特分类法。
J Med Genet. 2010 Jul;47(7):476-85. doi: 10.1136/jmg.2009.072785.
9
Neuromuscular features in Marfan syndrome.马凡综合征的神经肌肉特征。
Clin Genet. 2009 Jul;76(1):25-37. doi: 10.1111/j.1399-0004.2009.01197.x.
10
Reduced quantitative muscle function in tenascin-X deficient Ehlers-Danlos patients.肌腱蛋白-X缺乏的埃勒斯-当洛综合征患者的定量肌肉功能降低。
Neuromuscul Disord. 2007 Aug;17(8):597-602. doi: 10.1016/j.nmd.2007.04.004. Epub 2007 Jun 27.