Liedholm L J, Månsson A, Holmgren H
Klinisk neurofysiologi, Ostersunds sjukhus.
Nord Med. 1994;109(11):296-7, 309.
A 52 year old woman, previously healthy apart from a mild chronic persisting hepatitis, developed a sensory ataxia one week after an acute febrile illness. Clinically she had a severe impairment of proprioception and kinesthesia in the arms. Neurophysiological examinations demonstrated absent sensory potentials in the hands. No malignancy was found, and the patient had no sicca symptoms. Some tests for Sjögren's syndrome were positive, but not conclusive. A slight improvement followed after the acute phase. The diagnosis is compatible with an idiopathic subacute sensory neuronopathy.
一名52岁女性,除轻度慢性持续性肝炎外既往健康,在一次急性发热性疾病一周后出现感觉性共济失调。临床上,她双臂的本体感觉和运动觉严重受损。神经生理学检查显示手部感觉电位消失。未发现恶性肿瘤,患者也没有干燥症状。一些干燥综合征检查呈阳性,但不具有决定性。急性期后有轻微改善。诊断符合特发性亚急性感觉神经元病。