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非侵入性通气和激光辅助单侧后索切开术作为 Ch arcot-Marie-Tooth 病 4B 声带麻痹的新型多学科治疗方法:病例报告。

Noninvasive ventilation and laser-assisted unilateral posterior cordotomy as novel multidisciplinary approaches for Charcot-Marie-Tooth disease 4B vocal cord paralysis: a case report.

机构信息

Department of Pediatric Pulmonology, Mofid Pediatrics Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Student Research Committee, Faculty of Medicine, Shahed University, Tehran, Iran.

出版信息

J Med Case Rep. 2024 Sep 1;18(1):401. doi: 10.1186/s13256-024-04742-6.

DOI:10.1186/s13256-024-04742-6
PMID:39217382
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11366128/
Abstract

BACKGROUND

Charcot-Marie-Tooth disease (CMT) is one of the most common inherited neuropathies. The disease is generally characterized by sensory loss most prominent in distal extremities, muscle weakness, and muscle wasting. There is still no effective therapy for Charcot-Marie-Tooth disease.

CASE PRESENTATION

The patient is a 6-year-old Iranian girl, of Fars ethnicity, who was admitted with a chief complaint of hoarseness and an impression of Charcot-Marie-Tooth disease type 4B. She was initially treated with noninvasive ventilation and, after a year, electively underwent cordotomy as a novel therapeutic approach.

CONCLUSIONS

Charcot-Marie-Tooth disease type 4B is a less common but important cause of stridor. Noninvasive ventilation treatment and unilateral posterior cordotomy can be utilized for hereditary neuropathies.

摘要

背景

Charcot-Marie-Tooth 病(CMT)是最常见的遗传性周围神经病之一。这种疾病通常表现为以四肢远端为主的感觉丧失、肌无力和肌肉萎缩。目前仍然没有针对 Charcot-Marie-Tooth 病的有效治疗方法。

病例介绍

患者为一名 6 岁伊朗女孩,法尔斯族裔,以声音嘶哑和 Charcot-Marie-Tooth 病 4B 型为主诉入院。她最初接受无创通气治疗,一年后作为一种新的治疗方法选择行脊髓切开术。

结论

Charcot-Marie-Tooth 病 4B 型是一种较为少见但重要的喘鸣原因。遗传性周围神经病可采用无创通气治疗和单侧后索切开术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4506/11366128/3bf1eaf121cb/13256_2024_4742_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4506/11366128/3bf1eaf121cb/13256_2024_4742_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4506/11366128/3bf1eaf121cb/13256_2024_4742_Fig1_HTML.jpg

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本文引用的文献

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Endoscopic posterior cordotomy for treatment of dyspnea due to vocal fold immobility.内镜下后索切断术治疗声带固定所致呼吸困难。
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Vocal cord paralysis in Charcot-Marie-Tooth type 4b1 disease associated with a novel mutation in the myotubularin-related protein 2 gene: A case report and review of the literature.与肌管蛋白相关蛋白2基因新突变相关的4b1型夏科-马里-图斯病中的声带麻痹:一例报告并文献复习
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Ann Otol Rhinol Laryngol. 2010 Jan;119(1):47-9. doi: 10.1177/000348941011900109.
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Diagnosis, natural history, and management of Charcot-Marie-Tooth disease.夏科-马里-图思病的诊断、自然病史及治疗
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