《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (11): 1078-1079.

• 临床观察 • 上一篇    下一篇

神经痛性肌萎缩8例报道并文献复习

马维娅1; 吴士文1; 苏惠1; 冉敏1; 杨光2   

  1. 1.武警总医院神经内科,北京市 100039;2.徐州医学院淮安附属医院神经内科,江苏徐州市 223002
  • 收稿日期:2007-10-16 出版日期:2007-11-01 发布日期:2007-11-01

Neuralgic Amyotrophy:8 Cases Report and Relevant Literatures Review

MA Wei-ya, WU Shi-wen, SUHui, et al   

  1. Department of Neurology, The General Hospital of Chinese Armed Force, Beijing 100039, China
  • Received:2007-10-16 Published:2007-11-01 Online:2007-11-01

PDF (PC)

被引次数

11

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。

关键词: 神经痛性肌萎缩, 临床表现, 治疗

Abstract: Objective To investigate the clinical features and characteristic of auxiliary examination of neuralgic amyotrophy(NA).Methods8 patients with idiopathic neuralgic amyotrophy were analyzed retrospectively with literature review.Results and ConclusionAntecedent 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 elevated protein was found in two.5 patients had been misdiagnosed 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%.

Key words: neuralgic amyotrophy, clinical features, treatment