在吉兰-巴雷综合征中的神经病发
Roopa Rajan1, Reghu Anandapadmanabhan1, Aayushi Vishnoi1
1Department of Neurology All India Institute of Medical Sciences New Delhi India.
Movement disorders clinical practice
|September 29, 2023
概括
神经病发 (NT) 可以发生在从吉兰-巴雷综合征 (GBS) 恢复期间,呈现为快速的,动的姿势震. 电生理学提出了一个中央振荡器,挑战了NT只影响慢性神经病变的概念.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 临床电生理学 临床电生理学
背景情况:
- 神经病发震 (NT) 通常与慢性神经病变,如偏蛋白质性和遗传形式有关.
- 它表现为上肢的姿势或运动震.
研究的目的:
- 调查和描述从吉-巴雷综合征 (GBS) 康复的患者中NT的临床和电生理学特征.
- 在GBS恢复后,在一个不那么公认的背景下探索NT.
主要方法:
- 对于有震的GBS患者的临床记录的回顾性审查.
- 结构化神经检查与视频记录和三轴加速度计-表面电肌学.
- 使用Fahn-Tolosa-Marin震评级表来评估震的严重程度.
主要成果:
- 分析了5名患有NT的GBS患者,他们表现出一种细微,快速 (8-10 Hz),动的姿势震.
- 在5名患者中,有4名患者观察到dystonic姿势和溢出运动.
- 震发作在GBS后3个月至5年之间,运动恢复显著,并可引起深反射. 电生理学发现表明有一个中央振荡器.
结论:
- 神经病性震并不仅限于慢性神经病,并且可以在吉兰-巴雷综合征的康复阶段出现.
- 与GBS相关的NT的特征是高频率,动的姿势震和 dystonic 特征.
- 电生理学数据表明一个中央振荡机制,可能涉及小脑由于异常的感觉运动反.
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