良性无病性肌细胞瘤:一个新的临床实体?
Giorgia Sciacca1,2, A M Madelein van der Stouwe1, Sterre van der Veen1
1Expertise Center Movement Disorders Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Movement disorders clinical practice
|March 15, 2025
概括
我们建议"良性异常性肌肉瘤",一种新型的生理性肌肉瘤. 这种情况的特点是青少年开始的远端四肢抽,通常是良性的,不需要治疗.
科学领域:
- 神经学 神经学
- 运动障碍 运动障碍
背景情况:
- 肌是一个非自愿的,短暂的,类似冲击的运动.
- 根据病因分类:生理,基本,和症状.
- 生理性肌肉通常是良性的,并且不进展.
研究的目的:
- 提出一个新的鼻科实体:"良性异常性肌细胞瘤".
- 描述一组患有孤立的青少年发病的远端肢体肌细胞瘤的患者.
主要方法:
- 进行了临床和神经生理学检查.
- 包括电肌图 (EMG),体感觉唤起潜能 (SEP),电脑图 (EEG) -EMG与背部平均 (BA) 以及皮层肌肉连贯性 (CMC).
主要成果:
- 评估了15名患有青少年发病的远端肌肉细胞瘤的患者.
- 神经生理学测试证实了肌细胞瘤,其中40%来自皮质.
- 随访显示大多数患者的稳定性或缓解,其中一个患者出现轻微进展.
结论:
- "良性异常性肌肉细胞瘤"是生理性肌肉细胞瘤的一个建议表型.
- 它的特征是青少年发病的远端肌肉细胞瘤与良性过程.
- 可能代表一个独特的生理性肌细胞的子组,需要进一步的多中心研究.
相关概念视频
Myasthenia Gravis: Diagnostic Tests
589
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
589
Seizures: Classification
297
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
297
Myasthenia Gravis: Overview and Treatment
1.1K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.1K
Disorders of the Skeletal Muscle
845
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
845
Skeletal Muscle Relaxants: Therapeutic Uses
449
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
449
Classification of Skeletal Muscle Relaxants
2.3K
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...
2.3K


