颈神经根刺激的第Ⅱ部分:原发脱髓鞘性神经病变与运动神经元病的结果

来源 :世界核心医学期刊文摘(神经病学分册) | 被引量 : 0次 | 上传用户:jees_giggle
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: Cervical nerve root stimulation (CRS) allows the assessment of conduction in the proximal segments of motor fibers destined to the upper extremities, which are not evaluated by routine nerve conduction studies (NCS). Since many primary demyelinating polyneuropathies (PDP) are multifocal lesions may be confined to the proximal nerve segments. CRS may therefore increase the yield of neurophysiologic studies in diagnosing PDP. Methods: We reviewed clinical and neurophysiologic data from 38 PDP patients and compared them to 35 patients with motor neuron disease (MND), and 21 healthy controls (HC). Results: Mean onset-latency was significantly prolonged in PDP patients. The optimal onset-latency cutoff necessary to distinguish PDP from MND and controls was 17.5 ms for the abductor pollicis brevis (APB) and abductor digiti minimi (ADM), and 7 ms for Biceps and Triceps. Mean reduction in proximal to distal CMAP amplitude to APB and ADM was significantly greater in PDP patients, with an optimal cutoff in proximal to distal CMAP amplitude reduction necessary to distinguish PDP from MND and HC being 45%. Conclusions: CRS is effective in distinguishing PDP from MND and HC based on prolonged onset latency and conduction block criteria. Significance: CRS may increase the diagnostic yield in cases where demyelinating lesions are confined to the proximal peripheral neuraxis. Objective: Cervical nerve root stimulation (CRS) allows the assessment of conduction in the proximal segments of motor fibers destined to the upper extremities, which are not evaluated by routine nerve conduction studies (NCS). Since many primary demyelinating polyneuropathies (PDP) are multifocal Methods: We reviewed clinical and neurophysiologic data from 38 PDP patients and compared them to 35 patients with motor neuron disease (MND), and The optimal onset-latency cutoff necessary to distinguish PDP from MND and controls was 17.5 ms for the abductor pollicis brevis (APB) and abductor digiti minimi (APB) ADM), and 7 ms for Biceps and Triceps. Mean reduction in proximal to distal CMAP amplitude to APB and ADM was significantly greater in PDP patients, wit Conclusions: CRSs are effective in distinguishing PDPs from MND and HC based on prolonged onset latency and conduction block criteria. Significance: CRS may increase in PDPs from MND and HC being 45%. the diagnostic yield in cases where demyelinating lesions are confined to the proximal peripheral neuraxis.
其他文献
幼儿园阶段的教学是幼儿教育的启蒙阶段。在对幼儿进行美术教学活动时,幼儿教师的主要工作内容在于引导与激发,培养幼儿去发现美与感受美的能力。在当前可持续发展的大环境之
高尔基说:“书籍是人类进步的阶梯。”这不,我们村上就有一个小书屋。在小书屋里,我度过了最欢乐的童年。小书屋谈不上豪华,但朴素淡雅。小书屋里有两个大书架,一张圆桌,几把
感恩是中华民族,也是整个人类的一种精神美德。感恩教育属于伦理教育范畴,也归思想道德教育之列。进行感恩教育,有利于人格建设,改善人际关系,促进社会和谐。 Thanksgiving
高水平的交通管理和服务,直接关系到能否实现“有特色、高水平”奥运会和“平安奥运”的承办目标。北京作为2008年奥运会的承办方,如何营造安全和谐的交通环境是北京市公安机
暑假里,爸爸妈妈带我去马来西亚的兰卡威旅游。我们在兰卡威,看到了蓝蓝的大海、飞翔的海鹰、原始的红树林,还去海里钓鱼,吃着美味的海鲜。旅游真开心。回来的时候,我就问爸
随着经济和科学技术的不断发展,极大的促进了社会的进步,加快了现代化教育的发展,增加了对学前幼儿教育的关注度。为了提高幼儿园学前教育质量,教师改变了传统单一教学模式,
“全国鼠民请注意!全国鼠民请注意!今天下午4:05在鼠民大会堂召开第999次鼠国鼠民代表大会,请各来自各个系统的代表在3:50进场。”鼠国的广播、电视和电脑上都跳出了这条紧急
江苏省东台市梁垛镇小学创办于1907年,历经百年沧桑。学校开设24个教学班,1188名师生,建有200米环形橡塑跑道、足球场、篮球场等体育设施,拥有智能校园网、多功能报告厅、全
天国,万丈金色的耶稣光照耀着幸福的子民。伊甸园中花草丰茂。天使的脸上荡漾着满足的笑容,眼中却是一片空荡荡的呆滞。天边突然雷声滚滚,火一般的云团越推越厚。一声巨响,
Metabotropic glutamate receptors alter the vulnerability of neurons to excitotoxic damage and are reported to display abnormal expression in the central nervous