骨髓灰质炎的临床评估
Tarin A Europa1, Sui H Wong2, Jeannine M Heckmann3
1Neurology Research Group, UCT Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
重症肌无力(MG)的诊断应高度考虑于主诉波动性肌无力且在床旁检查中可证实肌肉易疲劳性的患者。本章节将重点讨论MG患者的病史采集与临床检查,并简要涉及其他肌无力综合征及其 mimics。大多数患者最初表现为波动性眼肌症状,这些症状可能局限于眼部(眼肌型MG),或随后累及肢体、延髓或呼吸肌(全身型MG)。对肌无力患者的检查旨在证实易疲劳性,并将其与非特异性的中枢性疲劳或全身乏力相鉴别。本章内容由神经眼科学专家与神经科医师基于其临床经验进行重点阐述。
重症肌无力(MG)的诊断应高度考虑于主诉波动性肌无力且在床旁检查中可证实肌肉易疲劳性的患者。本章节将重点讨论MG患者的病史采集与临床检查,并简要涉及其他肌无力综合征及其 mimics。大多数患者最初表现为波动性眼肌症状,这些症状可能局限于眼部(眼肌型MG),或随后累及肢体、延髓或呼吸肌(全身型MG)。对肌无力患者的检查旨在证实易疲劳性,并将其与非特异性的中枢性疲劳或全身乏力相鉴别。本章内容由神经眼科学专家与神经科医师基于其临床经验进行重点阐述。
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