摘要
Lewis-Sumner综合征(LSS)也称多灶性获得性感觉运动周围神经病(MADSAM),是以非对称性上肢远端运动感觉受累为首发症状的多发单神经脱髓鞘病变,运动神经和感觉神经同时受累,并伴有传导阻滞。临床上LSS与慢性炎症性脱髓鞘性多发性神经根神经病(CIDP)及多灶性运动神经病(MMN)不易鉴别。现将本院2012-03-06收治的1例主要表现为双手麻木无力的LSS患者报道如下,以提高临床医生对该病的认识。
Lewis-Sumner syndrome(LSS) is also called multifocal acquired demyelinating sensory and motor neuropathy(MADSAM),the nature of which is multiple nerve demyelination,asymmetric upper limbs distal sensorimotor involvement is the first symptom,motor nerve and sensory nerve are involved at the same time,accompanied by conduction block.In clinical practice,it is difficult to make differential diagnosis with LSS,chronic inflammatory demyelinating polyradicul-oneuropathy(CIDP) and multifocal motor neuropathy(MMN).A patient with numbness and weakness in two hands,was diagnosed with LSS in Beijing friendship hospital,2012-03-06.In order to raise the awareness of LSS,the diagnosing and treating process of the case were analyzed.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第27期3272-3274,共3页
Chinese General Practice