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神经根肥大作为慢性炎症性脱髓鞘性多发性神经根神经病中腰椎管狭窄的病因

Nerve root hypertrophy as the cause of lumbar stenosis in chronic inflammatory demyelinating polyradiculoneuropathy.

作者信息

Goldstein J M, Parks B J, Mayer P L, Kim J H, Sze G, Miller R G

机构信息

Department of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.

出版信息

Muscle Nerve. 1996 Jul;19(7):892-6. doi: 10.1002/(SICI)1097-4598(199607)19:7<892::AID-MUS12>3.0.CO;2-L.

Abstract

Two patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) developed signs of lumbar stenosis. Radiologic, intraoperative, and pathologic findings demonstrated lumbar stenosis secondary to nerve root hypertrophy. This syndrome has been demonstrated in hereditary but not acquired demyelinating neuropathies. CIDP should be considered in the differential diagnosis of sciatica and nerve root hypertrophy.

摘要

两名慢性炎症性脱髓鞘性多发性神经根神经病(CIDP)患者出现了腰椎管狭窄的体征。影像学、术中及病理检查结果显示,腰椎管狭窄继发于神经根肥大。这种综合征在遗传性脱髓鞘性神经病中已有报道,但在获得性脱髓鞘性神经病中未见报道。在坐骨神经痛和神经根肥大的鉴别诊断中应考虑CIDP。

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