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儿童神经肌肉电诊断测试的结果

Outcome of Neuromuscular Electrodiagnostic Testing in Children.

作者信息

Akhlaque Uzma, Khalil Muhammad Tawab, Ahmad Nadeem, Aftab Abdullah

机构信息

Department of Rehabilitation Medicine, Combined Military Hospital, Kharian, Pakistan.

Department of Rehabilitation Medicine, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2023 Dec;33(12):1457-1459. doi: 10.29271/jcpsp.2023.12.1457.

Abstract

This study aimed to describe the spectrum of the results of neuromuscular electrodiagnostic investigations performed by age and pathology in paediatric patients. This retrospective observational study took place from January 2019 to December 2021. Electrodiagnostic records of paediatric patients (birth to 15 years) were referred to the electromyography (EMG) laboratory for EMG and nerve conduction study (NCS). Electrodiagnostic and demographic data were collected. Among these, 151 (56%) were males and 118 (44%) were females. Forty-four percent tests came out to be normal and 151(56%) tests revealed electrophysiological abnormality. Peripheral nerve neuropathy (n = 39, 14.5%), polyneuropathy (n = 35, 13%) and myopathy (n = 28, 10%) were the most common electrophysiological diagnoses. The electrodiagnostic test helps in differentiating the aetiologies, thus guiding the subsequent work-up logically in the paediatric population. Key Words: Brachial plexus neuropathies, Electromyography, Duchene muscular dystrophy, Neuromuscular junction disorders, Nerve conduction studies, Acute inflammatory demyelinating polyneuropathy, Rehabilitation, Electromyography, Hereditary sensory motor polyneuropathy.

摘要

本研究旨在描述儿科患者神经肌肉电诊断检查结果按年龄和病理类型的分布情况。这项回顾性观察性研究于2019年1月至2021年12月进行。儿科患者(出生至15岁)的电诊断记录被送至肌电图(EMG)实验室进行肌电图和神经传导研究(NCS)。收集了电诊断和人口统计学数据。其中,151例(56%)为男性,118例(44%)为女性。44%的检查结果正常,151例(56%)检查显示电生理异常。周围神经病变(n = 39,14.5%)、多发性神经病(n = 35,13%)和肌病(n = 28,10%)是最常见的电生理诊断。电诊断检查有助于鉴别病因,从而在儿科人群中合理指导后续检查。关键词:臂丛神经病、肌电图、杜氏肌营养不良症、神经肌肉接头疾病、神经传导研究、急性炎症性脱髓鞘性多发性神经病、康复、肌电图、遗传性感觉运动性多发性神经病

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