Paci A, Sartucci F, Rossi B, Migliaccio P, Pallesi R
Pediatr Med Chir. 1984 Nov-Dec;6(6):823-9.
82 children (47 male and 35 female), aged between 2 and 12 years, with signs and symptoms consistent with spasmophilia, were investigated with an emg technique to better define boundaries of tetanic syndrome. In all subjects an ischaemic test was performed to the upper limb and the spontaneous emg activity from thenar eminence was recorded both during and after ischaemia. Moreover a clinical examination, with particular attention to objective signs of spasmophilia, were performed and serum electrolytes determined. Electromyographic spontaneous activity was noticed in 46 children (24 female, 22 male), 31 of them were hypocalcemic. The frequency of the various clinical manifestations is reported and correlated with emg and humoral findings. Significant difference between sexes in the incidence of tetanic syndrome where not noticed. More frequent symptoms for spasmophilia are tensive headache and cramps, abdominal spasms, psycomotos instability and anxiety; Chvostek's sign is frequent but no specific. The other symptoms assume relevance only if present in association. The role of electromyographic criteria in the detection of tetanic syndrome is stressed.
82名年龄在2至12岁之间、有与痉挛素质相符的体征和症状的儿童（47名男性和35名女性），采用肌电图技术进行研究，以更好地界定手足搐搦综合征的界限。对所有受试者的上肢进行缺血试验，并在缺血期间和缺血后记录来自鱼际隆起的自发肌电图活动。此外，进行了临床检查，特别关注痉挛素质的客观体征，并测定了血清电解质。46名儿童（24名女性，22名男性）出现肌电图自发活动，其中31名血钙过低。报告了各种临床表现的频率，并将其与肌电图和体液检查结果相关联。未发现手足搐搦综合征发病率在性别上有显著差异。痉挛素质更常见的症状是紧张性头痛和痉挛、腹部痉挛、精神运动不稳定和焦虑；Chvostek征很常见但无特异性。其他症状只有在同时出现时才具有相关性。强调了肌电图标准在手足搐搦综合征检测中的作用。
