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艾滋病相关性脊髓病。对23例丹麦患者的临床及电生理研究。

Myelopathy in AIDS. A clinical and electrophysiological study of 23 Danish patients.

作者信息

Helweg-Larsen S, Jakobsen J, Boesen F, Arlien-Søborg P, Brun B, Smith T, Ulrich K, Orskov B, Gyldensted C, Permin H

机构信息

National Hospital, Copenhagen, Denmark.

出版信息

Acta Neurol Scand. 1988 Jan;77(1):64-73. doi: 10.1111/j.1600-0404.1988.tb06976.x.

DOI:10.1111/j.1600-0404.1988.tb06976.x
PMID:3354313
Abstract

In a cross-sectional population study of Danish patients with AIDS 16 of 23 had clinical signs of neurological disease with muscle weakness or ataxia of the lower limbs as the dominant manifestation. Tibial and median nerve conduction was mildly slowed in a few patients and 15 had widening of cerebral ventricles at CT. However, all had prolonged latency of cortical evoked response following tibial nerve stimulation mainly due to slowing through the spinal cord. The prolongation of the latency of the evoked cortical responses was most pronounced in patients with lower limb ataxia and/or paresis. It is concluded that affection of the long tracts of the spinal cord are closely associated with the human immunodeficiency virus infection.

摘要

在一项针对丹麦艾滋病患者的横断面人群研究中,23名患者中有16名出现神经疾病的临床症状,以下肢肌肉无力或共济失调为主要表现。少数患者胫神经和正中神经传导略有减慢,15名患者在CT检查时出现脑室扩大。然而,所有患者在胫神经刺激后皮质诱发反应的潜伏期均延长,主要是由于脊髓传导减慢。诱发皮质反应潜伏期的延长在下肢共济失调和/或轻瘫患者中最为明显。结论是脊髓长束受累与人类免疫缺陷病毒感染密切相关。

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引用本文的文献

1
Progressive neurological dysfunction during latent HIV infection.潜伏性HIV感染期间的进行性神经功能障碍。
BMJ. 1989 Jul 22;299(6693):225-8. doi: 10.1136/bmj.299.6693.225.
2
Symptomatic polyneuropathy in human immunodeficiency virus antibody seropositive men with and without immune deficiency: a comparative electrophysiological study.患有和未患免疫缺陷的人类免疫缺陷病毒抗体血清阳性男性的症状性多发性神经病:一项比较性电生理研究
J Neurol Neurosurg Psychiatry. 1990 Dec;53(12):1056-9. doi: 10.1136/jnnp.53.12.1056.
3
Postural imbalance: an early sign in HIV-1 infected patients.
姿势失衡:HIV-1感染患者的早期迹象。
Eur Arch Psychiatry Clin Neurosci. 1992;241(5):267-72. doi: 10.1007/BF02195975.