与上肢外围神经陷相关的震
Thomas Apard1, Jean-Paul Brutus2, Benjamin Ferembach3
1Ultrasound guided hand surgery, Paris and Versailles, France.
Journal of hand and microsurgery
|October 13, 2025
概括
周围神经陷 (PNE) 可以导致手,这是一个罕见但被误诊的疾病. 通过保守或手术方法治疗PNE,所有患者的震都消失了,这表明PNE是外围诱导运动障碍 (PIMD) 的新原因.
科学领域:
- 神经学 神经学
- 手术手术手术手术手术
- 周围神经系统疾病 周围神经系统疾病
背景情况:
- 外周诱导运动障碍 (PIMD) 包含与外周神经系统损伤相关的运动异常.
- 在上肢的外周神经陷 (PNE) 是常见的,但其与震的关联很少报告.
- 之前的文献只记录了与PNE相关的震的三个病例.
研究的目的:
- 报告和分析PNE引起的手的临床病例.
- 调查PNE的二次震的临床发现和治疗结果.
- 建议在PIMD分类中将PNE诱导的震作为一个独立的类型.
主要方法:
- 一项多中心的回顾性研究涉及17名患者,他们因手而被转移到五个手部中心.
- 通过神经病学家进行临床和电生理学检查.
- 8名患者进行了保守治疗 (肌肌操纵,贴带),9名患者进行了手术释放神经.
主要成果:
- 所有17名患者都出现了与上肢PNE相关的震,经常涉及肘部.
- 最初对8名患者进行了保守治疗,其中9名患者在保守治疗失败后接受了手术.
- 在治疗后的所有患者中观察到的完全消失.
结论:
- 上肢PNE是一种潜在的,虽然罕见且经常被误诊的,手的原因.
- 由PNE引起的震可能代表了在外周引起的运动障碍中新的分类.
- 管理震的医疗从业人员应考虑PNE并咨询手术医生和物理治疗师进行诊断和治疗.
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