感觉神经传导研究在格林-巴利综合征诊断中的价值。
The value of sensory nerve conduction studies in the diagnosis of Guillain-Barré syndrome.
机构信息
Gilbert and Rose Mary Chagoury School of Medicine, Lebanese American University, Byblos 4504, Lebanon; Neurology Department, Lebanese American University Medical Center Rizk Hospital, Beirut 113288, Lebanon.
Service de Physiologie-Explorations Fonctionnelles, Hôpital Henri Mondor, Assistance Publique - Hôpitaux de Paris, 51 avenue de Lattre de Tassigny, 94010 Créteil, France; EA 4391, Excitabilité Nerveuse et Thérapeutique, Université Paris-Est-Créteil, Créteil, France.
出版信息
Clin Neurophysiol. 2021 May;132(5):1157-1162. doi: 10.1016/j.clinph.2021.02.013. Epub 2021 Mar 13.
Electrophysiology plays a determinant role in Guillain-Barré syndrome (GBS) diagnosis, classification, and prognostication. However, traditional electrodiagnostic (EDX) criteria for GBS rely on motor nerve conduction studies (NCS) and are suboptimal early in the course of the disease or in the setting of GBS variants. Sensory nerve conduction studies, including the sural-sparing pattern and the sensory ratio are not yet included in EDX criteria despite their well-established role in GBS diagnosis. The aim of this review is to discuss the diagnostic value of sensory NCS in GBS, their role in establishing the diagnosis and predicting the outcome according to the various subtypes of the disease.
电生理学在吉兰-巴雷综合征（GBS）的诊断、分类和预后中起着决定性作用。然而，传统的电诊断（EDX）GBS 标准依赖于运动神经传导研究（NCS），并且在疾病早期或 GBS 变体中并不理想。尽管感觉神经传导研究（包括腓肠神经保留模式和感觉比值）在 GBS 诊断中具有明确的作用，但它们尚未包含在 EDX 标准中。本综述的目的是讨论感觉 NCS 在 GBS 中的诊断价值，以及它们在根据疾病的各种亚型建立诊断和预测预后中的作用。
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