神经超声波用于诊断和随访外围神经病变
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Kalliopi Pitarokoili1, Ralf Gold, Anna Lena Fisse
1St. Josef Hospital, Ruhr-University, Bochum, Germany.
Current opinion in neurology
|June 29, 2023
概括
神经超声波是评估外围神经病变的实用诊断工具. 它评估神经形态和变化,有助于诊断和跟踪疾病,如慢性炎症性脱髓化多神经病变和糖尿病神经病变.
科学领域:
- 神经学 神经学
- 医疗成像医学成像
- 诊断技术 诊断技术
背景情况:
- 神经超声波在过去十年中已成为一种有价值的补充工具.
- 它对于评估免疫介导多神经病变的形态变化特别有用.
研究的目的:
- 提供关于神经超声波用于诊断和监测外围神经病变的当前数据的概述.
- 突出神经超声波在临床实践中的实用性.
主要方法:
- 对外围神经病变中神经超声波应用的现有数据的综述.
- 开发和应用针对疾病特异性场所的超声波协议.
- 评估关键的神经参数:横截面积,回声性,囊形态,上神经厚度,血管化和移动性.
主要成果:
- 神经超声波是实用的,广泛可用的,可复制的,并且没有明显的禁忌.
- 多焦点神经扩大是典型的慢性炎症性脱髓化多神经病 (CIDP) 和其变体的特征.
- 轴神经病变,如糖尿病神经病变,通常存在于压缩部位的孤立神经扩大.
结论:
- 神经超声波是对外围神经病变的一种成熟的诊断方法.
- 它有效地可视化了神经形态变化,有助于差异诊断和患者随访.
- 它的可访问性和可重复性使其成为神经诊断中的关键工具.
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