Kuruoğlu R, Cengiz B, Tokçaer A
Department of Neurology, Gazi University Faculty of Medicine, Ankara, Turkey.
Electromyogr Clin Neurophysiol. 1996 Dec;36(8):477-80.
A 43-year-old female patient developed bilateral ophtalmoplegia, bulbar paresis and weakness of the respiratory and extremity muscles. Additionally she had decreased sensation on the left half of the body. Repetitive nerve stimulation (RNS) test confirmed the diagnosis of botulism and edrophonium injection caused a reduction in the decremental response. When in doubt, RNS testing can provide the definitive results in the diagnosis of botulism.
一名43岁女性患者出现双侧眼肌麻痹、延髓麻痹以及呼吸和四肢肌肉无力。此外,她身体左侧感觉减退。重复神经刺激(RNS)试验确诊为肉毒中毒,注射依酚氯铵后递减反应减轻。如有疑问,RNS检测可为肉毒中毒的诊断提供决定性结果。