Department of Neurology, HUCAM, Vitória, Brazil.
Department of Neurology and Clinical Neurophysiology, ETZ Hospital, Tilburg, The Netherlands.
J Clin Ultrasound. 2023 Nov-Dec;51(9):1529-1535. doi: 10.1002/jcu.23591. Epub 2023 Oct 20.
The diagnosis of leprosy neuropathies has been traditionally based on clinical findings and electrodiagnostic studies, but ultrasound has emerged as a new tool for use in clinical practice. We conducted a literature search on the subject and developed a pragmatic ultrasound scanning protocol for patients with confirmed or suspected leprosy neuropathy. We suggest scanning the ulnar, median, superficial radial, common fibular and sural nerves at specific sites and assessing cross-sectional area, vascularity, and epineural thickness. Our protocol is potentially useful in differentiating leprosy neuropathies from other demyelinating neuropathies, but its applicability and accuracy must be evaluated in different centers.
麻风神经病的诊断传统上基于临床发现和电诊断研究，但超声已成为临床实践中的一种新工具。我们就该主题进行了文献检索，并为确诊或疑似麻风神经病患者制定了实用的超声扫描方案。我们建议在特定部位扫描尺神经、正中神经、桡浅神经、腓浅神经和腓肠神经，并评估其横截面积、血管密度和神经外膜厚度。我们的方案有可能有助于将麻风神经病与其他脱髓鞘神经病区分开来，但必须在不同中心评估其适用性和准确性。
