摘要
研究亚急性炎性脱髓鞘多发性神经根神经病的临床和病理特点。方法对6例亚急性炎性脱髓鞘多发性神经根神经病进行临床、腓肠神经活检光镜和电镜研究。结果患者的临床高峰在4~8周。临床表现主要为中等度瘫痪不伴呼吸衰竭,激素治疗有效。3例腓肠神经活检显示为脱髓鞘伴有单核细胞浸润。结论由于临床和病理结果与急性和慢性格林-巴利综合征不同,这些患者应考虑诊断亚急性炎性脱髓鞘多发性神经根神经病,以区别急性炎性脱髓鞘多发性神经根神经病和慢性炎性脱髓鞘多发性神经根神经病。
Objective To study the clinical and pathological characteristics of subacute inflammatory demyelinating polyradiculoneuropathy. Method Six patients with subacute inflammatory demyelinating polyradiculoneupathy were subjected to the clincal study, light and electron microscopic study of sural nerve. Results The patients had a progressive peak phase for 4 ~ 8 weeks. Clinical manifestations consisted basically of moderate paralysis without respiratory failure. They responded well to steroid therapy and recovered. Sural nerve biopsy performed in 3 of the patients showed demyelination associated with monocytic infiltration. Conclusion These dissimilar features acute or chronic cases of differentiated the 6 patients with subacute inflammatory demyelinating polyradiculoneuropathy from those with Guillain Barre syndrome in form of AIDP or CIDP.
出处
《中华神经科杂志》
CAS
CSCD
1997年第1期27-29,共3页
Chinese Journal of Neurology
关键词
G-B综合征
神经根炎
多发性
病理
脱髓鞘性
Guillian Barrè Syndrome Subacute inflammatory demyelinating polyradiculoneuropathy Sural nerve biopsy