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[格林-巴利综合征急性期周围神经传导速度的变化]

[Conduction velocity changes in peripheral nerves in the acute stage of the Guillain-Barre syndrome].

作者信息

Hausmanowa-Petrusewicz I, Emeryk-Szajewska B, Rowińska-Marcińska K

出版信息

Neurol Neurochir Pol. 1978 Mar-Apr;12(2):129-34.

PMID:673119
Abstract

In 20 cases of acute Guillain-Barré syndrome (including 4 recurrent cases the conduction velocity was measured in the nerves: facial, axillary, musculocutaneous, peroneal, sural and ulnar (motor and sensory). In the long nerves the maximal as well as minimal conduction velocity was determined. At the peak of development of clinical manifestations all electrophysiological parameters differed from the normal values, in particular, significant changes were found in long nerves (complete parallelism was found between the velocity of conduction and end latency). In the first stage of regression of clinical manifestations the electrophysiological parameters continued to show an increased abnormalities, only later they approached the normal values. Sensory conduction was disturbed in an equal degree as the motor conduction despite absence of clinical sensory disturbances. In recurrent cases slowing down of conduction was much more striking and persisted also during remission. In all studied cases independently of the character and course of the disease there was no correlation between the clinical state and the changes in the determined electrophysiological parameters.

摘要

对20例急性吉兰 - 巴雷综合征患者(包括4例复发患者)的面神经、腋神经、肌皮神经、腓总神经、腓肠神经和尺神经(运动和感觉)进行了神经传导速度测定。在长神经中测定了最大和最小传导速度。在临床表现发展的高峰期,所有电生理参数均与正常值不同,特别是在长神经中发现了显著变化(传导速度与末端潜伏期之间存在完全平行关系)。在临床表现消退的第一阶段,电生理参数继续显示异常增加,只是后来才接近正常值。尽管没有临床感觉障碍,但感觉传导与运动传导受到同等程度的干扰。在复发病例中,传导减慢更为明显,在缓解期也持续存在。在所有研究病例中,无论疾病的性质和病程如何,临床状态与所测定的电生理参数变化之间均无相关性。

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