Takeuchi H, Takahashi M, Kang J, Ueno S, Tarui S, Nakao Y, Otori T
Folia Psychiatr Neurol Jpn. 1980;34(1):45-55. doi: 10.1111/j.1440-1819.1980.tb01512.x.
Clinical features including changes in the peripheral nerve conduction were analzyed in 10 cases with ethambutol neuropathy. There were abnormalities in the visual field in seven and optic atrophy in five of 10 cases. Seven of 10 cases complained of numbness in the lower limbs. The age of onset and dose of ethambutol the patients continue to take after the occurrence of visual impairment were found to be important in determining the severity of neurological symptoms. A functional disturbance was more conspicuous in ethambutol neuropathy, particularly in the sensory system than in the motor system so far as the peripheral nerve conduction was serially examined. Some cases still had serious optic disturbances even about seven years after the onset of the disease and the presence of irreversible lesions was suspected.
对10例乙胺丁醇所致神经病变患者的临床特征(包括周围神经传导变化)进行了分析。10例患者中,7例有视野异常,5例有视神经萎缩。10例中有7例诉说下肢麻木。发现发病年龄以及视力损害出现后患者继续服用乙胺丁醇的剂量,对于确定神经症状的严重程度很重要。就连续检查周围神经传导而言,乙胺丁醇所致神经病变中的功能障碍,尤其是感觉系统的功能障碍比运动系统更明显。一些病例在发病约7年后仍有严重的视觉障碍,怀疑存在不可逆病变。