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膈肌阵挛:通过荧光镜检查和肌电图诊断及对苯妥英钠的反应

Diaphragmatic myoclonus: diagnosis by fluoroscopy and electromyography with response to phenytoin.

作者信息

Young C R, Clapp L, Salcedo V, Whitlock W L

机构信息

Department of Medicine, Dwight David Eisenhower Army Medical Center, Augusta, GA 30905-5650, USA.

出版信息

South Med J. 1995 Dec;88(12):1270-3.

PMID:7502124
Abstract

A 40-year-old woman presented a 6-week history of "fluttering" in her chest. A diagnosis of bilateral diaphragmatic myoclonus was made by fluoroscopy and electromyography of both hemidiaphragms. No central or peripheral cause was identified, but treatment with intravenous phenytoin had an immediate effect. With therapy, she has been symptom free for 12 months.

摘要

一名40岁女性诉说有6周的胸部“颤动”病史。通过双侧膈肌的荧光镜检查和肌电图检查诊断为双侧膈肌肌阵挛。未发现中枢或外周病因,但静脉注射苯妥英钠治疗立即起效。经过治疗,她已12个月无症状。

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