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[艾迪综合征与多发性神经病:关于一例新病例以及一例瞳孔紧张症、多发性神经病和不累及神经的全身性淀粉样变性病例]

[Adie's syndrome and polyneuropathy: apropos of a new case and a case of pupillotonia, polyneuropathy and generalized amyloidosis sparing the nerve].

作者信息

Salama J, Hauw J J, Dubas F, Giroux C, Frison A, Delaporte P

出版信息

Ann Med Interne (Paris). 1984;135(1):39-42.

PMID:6703570
Abstract

The association of Adie's syndrome and of neuropathy of chronic evolution is not a frequent occurrence; first made known by Togi in 1967, four cases have been described ever since. The authors report two new observations: one concerns a man showing a unilateral tonic pupil associated to sensory neuropathy, raised C.S.F. protein, rarefaction of myelinated fibres with schwannian proliferation, without amyloid deposit. The other is that of a woman affected with bilateral pupillotonia, motor neuropathy of the four limbs and generalized amylosis. If the first observation is comparable to the five cases reported, the second is more questionable: the absence of amyloid deposit on three nerve biopsies and at the ciliary ganglion level does not absolutely exclude the possibility of amyloid neuropathy.

摘要

阿狄氏综合征与慢性进展性神经病变的关联并不常见;1967年由托吉首次报道,此后仅描述过4例。作者报告了两例新病例:一例是一名男性,表现为单侧强直性瞳孔,伴有感觉神经病变、脑脊液蛋白升高、有雪旺氏细胞增生的有髓纤维稀疏,无淀粉样沉积物。另一例是一名女性,患有双侧瞳孔强直、四肢运动神经病变和全身性淀粉样变性。如果第一例与已报道的5例病例相似,那么第二例则更值得怀疑:三次神经活检以及睫状神经节水平均未发现淀粉样沉积物,但这并不能绝对排除淀粉样神经病变的可能性。

相似文献

1
[Adie's syndrome and polyneuropathy: apropos of a new case and a case of pupillotonia, polyneuropathy and generalized amyloidosis sparing the nerve].[艾迪综合征与多发性神经病:关于一例新病例以及一例瞳孔紧张症、多发性神经病和不累及神经的全身性淀粉样变性病例]
Ann Med Interne (Paris). 1984;135(1):39-42.
2
[A case of Adie's syndrome with chronic progressive neuropathy and generalized amyloidosis sparing the nerve].[一例伴有慢性进行性神经病和不累及神经的全身性淀粉样变性的阿狄氏综合征]
Nouv Presse Med. 1982 Oct 2;11(38):2845-6.
3
Adie's syndrome: some new observations.阿狄氏综合征:一些新观察结果。
Trans Am Ophthalmol Soc. 1977;75:587-626.
4
[Tonic pupil, pupil Adie syndrome Adie Holmes: current reassessment of terminology -- a clinical case].[强直性瞳孔、阿-霍瞳孔综合征:术语的当前重新评估——1例临床病例]
Oftalmologia. 2012;56(3):46-51.
5
The Holmes-Adie plus syndrome.霍姆斯-艾迪附加综合征
J Clin Neurosci. 2000 Sep;7(5):452. doi: 10.1054/jocn.1999.0233.
6
[Polyneuropathy is an early finding in primary systemic amyloidosis].多发性神经病是原发性系统性淀粉样变性的早期表现。
Tidsskr Nor Laegeforen. 2000 Apr 30;120(11):1291-3.
7
[Two families of Charcot-Marie-Tooth disease with Adie's pupil, axonal neuropahy and the Thr124Met mutation in the peripheral myelin protein zero gene].伴有阿-罗氏瞳孔、轴索性神经病以及外周髓磷脂蛋白零基因Thr124Met突变的两型夏科-马里-图斯病
Rinsho Shinkeigaku. 2000 Feb;40(2):149-54.
8
Pupillotonia (Adie's pupil): diagnosis and significance in fliers.瞳孔紧张症(阿-罗氏瞳孔):对飞行人员的诊断及意义
Aerosp Med. 1972 May;43(5):555-9.
9
[Etiology and localisation of pupillotonia and of Adie's syndrome].[瞳孔强直及艾迪综合征的病因与定位]
Nervenarzt. 1972 Mar;43(3):152-5.
10
Ultrastructure of the sural nerve in chronic polyneuropathy associated with Adie's syndrome.
Acta Neuropathol. 1974;29(2):181-6. doi: 10.1007/BF00684776.

引用本文的文献

1
Adie's tonic pupil as a manifestation of Sjögren's syndrome.阿狄强直性瞳孔作为干燥综合征的一种表现。
Ital J Neurol Sci. 1997 Oct;18(5):293-5. doi: 10.1007/BF02083307.