肌肉骨模仿的 lumbosacral 根基病变
Emma A Bateman1,2, Christian D Fortin3,4, Meiqi Guo3,5
1Parkwood Institute Research, Parkwood Institute, St Joseph's Health Care London, London, Canada.
Muscle & nerve
|May 10, 2024
概括
从模仿肌肉骨疾病来区分下肢根性病变对于准确诊断至关重要. 本综述强调了区分这些疾病的关键临床和诊断特征,改善了患者护理和资源利用.
科学领域:
- 神经学 神经学
- 肌肉骨医学 肌肉骨医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 根基病变的诊断依赖于电诊断评估,但肌肉骨疾病经常模仿或与之共存.
- 准确的区分对于有效的治疗和患者管理至关重要.
- 腰椎神经脊柱的疾病可能会出现重叠的症状,这些症状与根基病变的症状重叠.
研究的目的:
- 为了将根部疼痛与其他腰部神经脊柱疼痛来源区分开来.
- 描述模仿根性病变的肌肉骨疾病,重点关注辐射疼痛和感觉运动功能障碍.
- 提供一种系统的方法来区分从肌肉骨模仿的激素病.
主要方法:
- 审查临床评估,病史记录和身体检查发现的根性病变.
- 标识和描述模仿激光病的常见肌肉骨疾病.
- 强调高收益的体检操作和诊断调查.
主要成果:
- 根基病症通常表现为皮肤上疼痛,感官障碍,肌体虚弱和反射变化.
- 肌肉骨模仿者可能会表现出非皮肤或非辐射疼痛,疼痛和正常的神经检查.
- 超过30个肌肉骨疾病,包括骨关节炎和肌筋关节疼痛综合征,被讨论为模仿.
结论:
- 结合病史,体检和有针对性的调查的系统方法对于区分激素病与肌肉骨模仿症至关重要.
- 准确的诊断优化了护理,提高了患者的满意度,并促进了资源管理.
- 对于电诊断医学专家来说,了解肌肉骨模仿是必不可少的.
相关概念视频
Classification of Skeletal Muscle Relaxants
2.5K
Skeletal muscle relaxants are a group of drugs that can reduce muscle stiffness and induce temporary paralysis to relieve pain. These agents can act centrally to reduce muscle tone or spasms in painful conditions such as multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or spinal injuries; they are called antispasmodics or spasmolytics.
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
2.5K
Local Anesthetics: Clinical Application as Spinal Anesthesia
620
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
620


