在COVID-19暴露后的牧师-特纳综合征:系统性审查
James A Butterfield1, Kiernan J Gunn1, Keith Sweitzer1
1University of Rochester Medical Center, NY, USA.
概括
在COVID-19后,牧师-特纳综合征 (PTS) 病例正在增加. 通过MRI和电诊断研究进行早期诊断对于受影响患者的有效治疗和康复至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 帕索纳奇-特纳综合征 (PTS) 是一种罕见的神经病变,导致肩膀疼痛和肌肉虚弱.
- 随着COVID-19大流行,与感染或接种疫苗相关的PTS病例报告数量有所增加.
研究的目的:
- 系统地审查和分析与COVID-19感染或疫苗接种相关的PTS病例.
- 确定COVID-19相关PTS的诊断方法和治疗策略的趋势.
主要方法:
- 在主要数据库 (PubMed,Embase,Scopus,Web of Science,Google Scholar) 中进行系统的文献审查.
- 鉴定和分析COVID-19感染或接种疫苗后报告的PTS病例.
- 记录诊断方式和治疗选择.
主要成果:
- 54名患者在COVID-19疫苗接种后和26名感染后发生了PTS.
- 疫苗接种后平均9.5天出现症状,感染后平均18.8天出现症状.
- 核磁共振成像和电诊断研究 (EMG/NCS) 是关键的诊断工具,并指出了具体的发现.
结论:
- 在手部诊所预计COVID-19相关PTS病例的增加.
- 建议在症状出现后进行MRI (3周) 和电诊断研究 (2周) 的最佳时间.
- 手部外科医生必须为诊断和管理做好准备,以优化患者的康复.
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