在炎症性神经病变中,上肢和下肢
Matthew Silsby1, Con Yiannikas2, Alessandro F Fois3
1Neurology Department, Westmead Hospital; Westmead Clinical School, University of Sydney, Australia; Brain and Nerve Research Centre, University of Sydney, Australia; Neurology Department, Concord Hospital Sydney, Australia.
概括
神经病的震会影响上肢和下肢,下肢的震与不平衡有关. 了解这些震是管理神经病关联平衡问题的关键.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 周围神经疾病 周围神经疾病
背景情况:
- 神经病发震的机制尚未完全理解,近端神经病和远端神经病之间的区别有限.
- 下肢震在不平衡中的作用已知在慢性炎症性脱叶林性多基核神经病 (CIDP) 中,但在其他神经病中尚未探索.
研究的目的:
- 用抗MAG抗体 (DADS-MAG) 鉴定慢性免疫感官多基根病 (CISP) 和距离性获得性脱线神经病的上肢和下肢震.
- 将CISP和DADS-MAG中的震特征与CIDP中的特征进行对比.
主要方法:
- 对38名患有CIDP,CISP或DADS-MAG的患者进行横截面研究.
- 进行了临床评估,震记录,神经传导研究,体感唤起潜能和力量平台平衡测量.
主要成果:
- 在所有研究的神经病 (66-100%) 中,上肢震的流行率很高.
- 下肢在29-66%的患者中存在,与不平衡相关.
- 神经传导参数与DADS-MAG/CISP中的上肢震和CISP中的不平衡有关.
结论:
- 上肢震涉及外围和中央机制,无论神经病变类型 (远端/近端).
- 下肢震与外周神经功能有关,有助于患者的失衡.
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