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轴索性和脱髓鞘性多发性神经病的电生理学

The electrophysiology of axonal and demyelinating polyneuropathies.

作者信息

Cornblath D R

机构信息

Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.

出版信息

Baillieres Clin Neurol. 1996 Mar;5(1):107-13.

PMID:8732202
Abstract

Electrodiagnostic studies, which include nerve conduction studies, electromyography, repetitive nerve stimulation, single fibre EMG, autonomic function tests and quantitative sensory tests are a critical component of the neuromuscular evaluation. These studies, which are an extension of the clinical examination, help to classify further patients into the part of the peripheral nervous system affected and provide significant insight into the pathophysiological processes that underlie clinical illnesses. Traditionally, patients with peripheral neuropathy are classified as having demyelinating or axonal neuropathies. The methods of making this distinction are discussed. In addition, a number of additional studies are now available which provide further, insights into selected aspects of the peripheral nervous system.

摘要

电诊断检查包括神经传导研究、肌电图、重复神经刺激、单纤维肌电图、自主神经功能测试和定量感觉测试,是神经肌肉评估的关键组成部分。这些检查作为临床检查的延伸,有助于进一步将患者分类到受影响的外周神经系统部分,并深入了解临床疾病背后的病理生理过程。传统上,外周神经病变患者被分类为脱髓鞘性或轴索性神经病变。本文讨论了进行这种区分的方法。此外,现在还有许多其他检查可用于进一步深入了解外周神经系统的特定方面。

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