高速推力操纵后双边手 dystonia:一个案例报告
Min Cheol Chang1, Mathieu Boudier-Revéret2, Jean-Paul Brutus3
1Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, South Korea.
The Journal of international medical research
|October 10, 2024
概括
推力操纵是一种常见的疼痛管理技术,很少会导致 dystonia,其特征是手肌的非自愿收缩. 这份病例报告强调了一名在操纵后患有 dystonia 的患者,强调了临床意识的必要性.
科学领域:
- 肌肉骨医学 肌肉骨医学
- 神经学 神经学
- 临床病例报告 临床病例报告
背景情况:
- 推力操纵是用于肌肉骨疼痛管理的广泛使用的临床技术.
- 它涉及向关节施加高速,低振幅的力,以致于化.
- 副作用虽然很少见,但需要进行调查.
研究的目的:
- 在双边推力操纵后报告一种罕见的 dystonia 病例.
- 描述这种并发症的临床表现,诊断和管理.
- 提高临床医生对推力操纵潜在不良影响的认识.
主要方法:
- 病例报告是一名20多岁的女性患者,出现了非自愿的手肌收缩.
- 临床评估,诊断复杂区域疼痛综合征 (CRPS) I型与 dystonia.
- 对普雷迪尼索隆,肉毒毒素和三基,西帕姆和巴克洛芬的组合治疗反应的评估.
主要成果:
- 患者在推力操纵后出现了双边,非自愿的手部肌肉收缩 (动脉缩).
- 普雷迪尼索隆改善了CRPS症状;肉毒毒素对 dystonia 无效.
- 服用口服药物的组合 (三基,亚泽帕姆,巴克洛芬) 显著减少了 dystonia,但没有达到完全的解决.
结论:
- 阻塞是推力操纵的罕见但潜在的并发症.
- 对于经历此类不良事件的患者来说,早期识别和适当的治疗至关重要.
- 临床医生应该保持对这种罕见的连续事件的认识,以确保患者的安全.
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