[神经性缩:一种炎症性神经病变及其手术治疗]
Peter Pöschl1, Mirko Pham2, Maria Teresa Pedro3
1Neurologie, Neurologische Praxis Sinzing, Sinzing, Germany.
概括
对神经性缩 (NA) 的早期手术干预,通常是由神经收缩和扭曲引起的,可显著改善运动缺陷. 这项研究强调了NA手术治疗的有效性,导致了实质性的功能恢复.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 周围神经疾病 周围神经疾病
背景情况:
- 神经性缩 (NA) 是一种被诊断不足的炎症性神经病变.
- 神经收缩和扭曲越来越多地被认为是导致NA的因素.
- 先进的成像技术有助于理解NA的病理生理学和预后.
研究的目的:
- 审查目前对NA病理生理学,临床表现,诊断和治疗的理解.
- 评估由神经收缩/扭曲引起的NA手术干预的疗效.
主要方法:
- 对22名患者 (23个受影响的神经) 的回顾性分析,这些患者因外围神经收缩/扭曲而接受手术.
- 外科手术包括上神经切除术,上神经切除术和周神经切除术,以及端到端的 sutures.
- 中间神经,上神经和辐射神经最常受到影响.
主要成果:
- 所有17名重新检查的患者都报告了运动缺陷的主观改善.
- 临床和电肌图学发现显示显著的肌肉力量恢复 (M0 至至少M3).
- 平均随访时间为10个月,表明持续的功能改善.
结论:
- 由于神经异常,NA的发生率被低估,并可能导致永久的运动缺陷.
- 建议对NA进行早期手术治疗以改善结果.
- 插膜和周神经切除术产生了非常好的结果;在某些情况下,神经损伤或移植可能是必要的.
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