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非常见单神经病的电诊断评估。

Electrodiagnostic Assessment of Uncommon Mononeuropathies.

机构信息

Saint Louis University School of Medicine, Saint Louis, MO, USA.

Department of Neurology, Saint Louis University School of Medicine, Saint Louis, MO, USA.

出版信息

Neurol Clin. 2021 Nov;39(4):957-981. doi: 10.1016/j.ncl.2021.06.005. Epub 2021 Sep 3.

Abstract

Carpal tunnel syndrome, ulnar neuropathy at the elbow, and peroneal neuropathy are the most common mononeuropathies; however, other individual nerves may also be injured by various processes. These uncommon mononeuropathies may be less readily diagnosed owing to unfamiliarity with the presentations and vague symptoms. Electrodiagnostic studies are essential in the evaluation of uncommon mononeuropathies and can assist in localization and prognostication. However, they can also be challenging; stimulation at the proximal sites is difficult and well-validated reference values are not available. This article reviews the electrodiagnostic assessment of several uncommon upper and lower extremities mononeuropathies.

摘要

腕管综合征、肘管尺神经病变和腓总神经病是最常见的单神经病;然而,其他个别神经也可能因各种过程而受损。由于对这些不常见的单神经病的表现和模糊症状不熟悉,因此可能不太容易诊断。电诊断研究对于评估不常见的单神经病至关重要,并且可以帮助定位和预测预后。然而,它们也具有挑战性;在近端部位进行刺激很困难,并且没有经过良好验证的参考值。本文回顾了几种不常见的上下肢单神经病的电诊断评估。

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