Mizon J P, Rosa A, Betermiez P, Sevestre H
Rev Neurol (Paris). 1985;141(2):146-8.
A 62 year old man developed a neuropathy after several months of treatment with amiodarone. The clinical picture was atypical in that it associated a polyradiculoneuritis with cell-protein dissociation and an axial and peripheral cerebellar syndrome. Pathology of muscle and nerve showed dense inclusions in Schwann cell cytoplasm and in pericytes, highly suggestive of fat inclusions. Discontinuation of amiodarone therapy resulted in a slow regression of disorders. Diabetes mellitus developed. Several pathogenic hypotheses are proposed.
一名62岁男性在接受胺碘酮治疗数月后出现神经病变。临床表现不典型,表现为多神经根神经炎合并细胞蛋白分离以及中枢和周围小脑综合征。肌肉和神经病理学显示施万细胞胞质和周细胞中有致密包涵体,高度提示脂肪包涵体。停用胺碘酮治疗后,病情逐渐缓解。随后发展为糖尿病。提出了几种致病假说。