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住院患者常见局灶性神经病。

Common Focal Neuropathies in the Hospitalized Patient.

机构信息

University of California San Francisco, 400 Parnassus Avenue, 8th Floor, San Francisco, CA 94143, USA.

University of California San Francisco, 400 Parnassus Avenue, 8th Floor, San Francisco, CA 94143, USA.

出版信息

Neurol Clin. 2022 Feb;40(1):175-190. doi: 10.1016/j.ncl.2021.08.013.

DOI:10.1016/j.ncl.2021.08.013
PMID:34798969
Abstract

Neuropathies are a common problem encountered by neurologist in the hospitalized setting. Nerve injury may occur secondary to compression, stretch, and direct trauma, among other causes. Common focal neuropathies include the ulnar, median, and radial nerve in the upper extremities and sciatic, peroneal, and femoral nerve in the lower extremities. Surgical and obstetric risk factors are especially important considerations in evaluation of patients with focal neuropathies. Treatment is either conservative therapy or surgery depending on the mechanism of injury and extent of recovery.

摘要

神经病变是神经科医生在住院环境中经常遇到的问题。神经损伤可继发于压迫、拉伸和直接创伤等原因。常见的局灶性神经病包括上肢的尺神经、正中神经和桡神经,以及下肢的坐骨神经、腓总神经和股神经。手术和产科危险因素是评估局灶性神经病患者时特别重要的考虑因素。治疗方法取决于损伤机制和恢复程度,包括保守治疗或手术。

相似文献

1
Common Focal Neuropathies in the Hospitalized Patient.住院患者常见局灶性神经病。
Neurol Clin. 2022 Feb;40(1):175-190. doi: 10.1016/j.ncl.2021.08.013.
2
Nerve entrapment syndromes.神经卡压综合征
Curr Opin Rheumatol. 1997 Mar;9(2):165-73. doi: 10.1097/00002281-199703000-00015.
3
Compressive neuropathies of the ulnar nerve at the elbow and wrist.肘部和腕部尺神经的压迫性神经病变
Instr Course Lect. 2000;49:305-17.
4
Lower extremity iatrogenic nerve injury due to compression during intraabdominal surgery.腹部手术期间因压迫导致的下肢医源性神经损伤。
Am J Surg. 1997 Jun;173(6):504-8. doi: 10.1016/s0002-9610(97)00015-9.
5
Benign joint hypermobility with neuropathies: documentation and mechanism of median, sciatic, and common peroneal nerve compression.伴有神经病变的良性关节活动过度:正中神经、坐骨神经和腓总神经受压的记录与机制
Clin Rheumatol. 1988 Mar;7(1):35-40. doi: 10.1007/BF02284054.
6
Intraneural ganglion of the peroneal nerve: a case report.
Ir Med J. 1995 Jul-Aug;88(4):131.
7
Common mononeuropathies.常见单神经病
N C Med J. 1985 Jan;46(1):7-14.
8
Peripheral neuropathy in patients with gout, beyond focal nerve compression: a cross-sectional study.痛风患者的周围神经病变:不仅仅是局灶性神经压迫——一项横断面研究。
Clin Rheumatol. 2024 Aug;43(8):2627-2636. doi: 10.1007/s10067-024-07044-w. Epub 2024 Jul 5.
9
Diagnosis and management of common compression and entrapment neuropathies.常见压迫性和卡压性神经病变的诊断与管理
Neurol Clin. 1997 Aug;15(3):549-67. doi: 10.1016/s0733-8619(05)70333-9.
10
Iatrogenic peripheral nerve lesions and acute compressive mononeuropathies--considerations on clinical course and EMG findings.医源性周围神经损伤与急性压迫性单神经病——关于临床病程及肌电图检查结果的思考
Electromyogr Clin Neurophysiol. 1988 Nov-Dec;28(7-8):415-9.

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