微神经图显示长期COVID中非髓化小神经纤维功能障碍
Ana Ribeiro1, Shahrzad Hadavi1, Nick Gall2
1Department of Clinical Neurophysiology, King's College Hospital, London, UK.
Annals of neurology
|September 22, 2025
概括
微神经图显示了长期COVID患者显著的小神经纤维功能障碍,导致多系统症状. 这项研究将电生理学发现与外围神经损伤联系起来,支持长期COVID病变的关键假设.
科学领域:
- 神经学 神经学
- 电子生理学 电子生理学
- 传染性疾病 传染性疾病
背景情况:
- 长期COVID (SARS-CoV-2感染的急性后续) 呈现出多种多系统性症状.
- 神经病症症状,包括疼痛和静止不耐症,在长期COVID中很常见.
- 小神经纤维功能障碍越来越多地与长期COVID的病理生理学有关.
研究的目的:
- 为了调查长期COVID患者的微神经图发现.
- 为了确定外周C感受器和交感神经纤维中的电生理异常.
- 将这些发现与长期COVID的多系统表现相关联.
主要方法:
- 在36名长期COVID患者身上进行了微神经图谱.
- 评估C感受器功能 (自发活动,敏感化,导电异常).
- 评估了交感神经纤维功能,使用刺激性恢复周期,将结果与规范数据库进行比较.
主要成果:
- 88.9%的患者表现出客观C纤维异常,包括自发的感应器活性和外周敏感性.
- 观察到C感知体种群向机械不敏感类型的转变.
- 异常的交感神经纤维恢复周期表明神经元平衡受损.
结论:
- 微神经图提供了长期COVID中小神经纤维功能障碍的新型电生理学证据.
- 这些发现支持了外围神经功能障碍在长期COVID中导致多系统症状的假设.
- 结果与受影响个体中小神经纤维损失的组织学证据一致.
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