摘要
目的探讨神经痛性肌萎缩的临床及辅助检查特点。方法回顾性分析8例神经痛性肌萎缩患者的临床及各种辅助检查资料,结合文献分析其主要的临床特点。结果和结论5例(63%)患者病前存在可能的诱因;7例(88%)以疼痛起病,随后出现肌无力和萎缩,1例未出现疼痛。臂丛的上、中干受损害最多见。2例患者检查发现肝功能异常。在5例行脑脊液检查者中,2例脑脊液蛋白轻度增高。5例患者因颈椎MRI检查而曾被误诊为颈椎病。6例接受激素及康复治疗,2例患者仅接受康复治疗,随访2～18个月,5例完全恢复。
Objective To investigate the clinical features and characteristic of auxiliary examination of neuralgic amyotrophy （NA）. Methods 8 patients with idiopathic neuralgic amyotrophy were analyzed retrospectively with literature review. Results and Conclusion Antecedent events were found before attack in 5 patients. Serious pain, which was followed by paresis and atrophy, as initial symptom, was found in 7 patients. Damage in the upper and middle trunk distribution occurred most frequently. Elevated liver enzymes were found during the early phase of their attacks in 2 patients. CSF analysis was performed in 5 patients, and mildly ele- vated protein was found in two. 5 patients had been misdiagnoscd as cervical spondylosis. After medical and/or physical therapy （6 patients with corticosteroid and physical therapy, 2 only with physical therapy）, all the patients had been followed up for 2- 13 months. Muscle power was recovered in 67% of all the patients, partially recovered in 33%.
出处
《中国康复理论与实践》
CSCD
2007年第11期1078-1079,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
神经痛性肌萎缩
临床表现
治疗
neuralgic amyotrophy
clinical features
treatment
