经过急性鞭伤后出现外围神经炎症的证据
Colette Ridehalgh1,2, Joel Fundaun3,4, Stephen Bremner5
1Department of Clinical Neuroscience, Brighton and Sussex Medical School, Trafford Centre, University of Sussex, Falmer, Brighton, United Kingdom.
Pain
|March 4, 2025
概括
鞭相关疾病II级 (WADII) 可能涉及外围神经炎症,由MRI变化和神经敏感性增加表明. 这表明需要重新考虑WADII管理策略.
科学领域:
- 神经科学是一个神经科学.
- 肌肉骨医学 肌肉骨医学
- 放射学 放射学是一门学科.
背景情况:
- 鞭相关疾病II级 (WADII) 呈现部症状和肌肉骨症状,往往没有明显的神经缺陷.
- 一部分WADII患者可能有潜在的外周神经炎症,导致预后不佳和社会经济成本高.
研究的目的:
- 在急性WADII中调查外围神经炎症的存在.
- 为了将神经炎症指标与临床表现和成像发现相关联.
主要方法:
- 招募了122名WADII参与者和43名健康对照 (HC).
- 利用T2加权的手臂,背部根和中枢神经的MRI.
- 评估的临床代用药物:高神经机械敏感性 (HNM),血清炎症调解剂,以及对体感官过敏症的定量感官测试.
主要成果:
- 与HCs相比,WADII患者的C5臂根和C5-C8背根细胞中增加了T2信号比率.
- 55%的WADII参与者表现出HNM,与相关的感冒/压力过敏症和增加的神经病痛.
- 观察到血清炎症媒介的升高和体感变化 (47%的WADII).
结论:
- 急性WADII表现出复杂的表型,在个体的子组中有外围神经炎症的证据.
- 研究结果表明,在WADII中应考虑神经炎症,需要重新评估当前的管理方法.
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