斯特里多和焦喉 dystonia 的发病情况
1Department of Otorhinolaryngology, Fondation Rothschild, Paris, France.
Lancet (London, England)
|February 22, 1992
概括
格哈特综合症的特征是喉,并不是由声带绑架器造成的. 相反,它是一种可用肉毒素注射治疗的焦点喉 dystonia.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 运动障碍 运动障碍
背景情况:
- 格哈特综合征呈现出喉螺纹,历史上归因于声带绑架肌肉麻.
- 这种情况会影响声带的位置和呼吸道的通透性.
研究的目的:
- 为了研究Gerhardt综合征的潜在病理生理学.
- 确定肉毒毒素在治疗与这种综合征相关的喉突症的疗效.
主要方法:
- 纤维光学喉镜检查了6名患有喉纹的患者.
- 电肌图 (EMG) 评估了声带肌肉活动.
- 在受影响的患者中,注射肉毒毒素给过度活跃的甲状腺肌肉.
主要成果:
- 喉腔镜检查显示,静止的声带处于中位位置,没有其他局部原因.
- 电磁共振显示声带添加器过度活跃,在吸收器肌肉中没有变质的迹象.
- 毒素注射在所有接受治疗的患者中成功地消除了.
结论:
- 格哈特综合征是一种焦喉 dystonia,不是由声带绑架器麻引起的.
- 毒素注射以向过度活跃的附加肌肉为Gerhardt综合征提供了潜在的治疗方法.
- 这种方法可能是手术干预的可行替代方案,如阿里内多佩克西或气管切除术.
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