期刊文献+

急性泛自主神经病病例分析(附4例报告) 被引量:6

Acute panautonomic neuropathy: a report of 4 cases
下载PDF
导出
摘要 目的研究急性泛自主神经病(APN)的临床特点,以探讨其诊断要点、治疗和预后。方法回顾性分析4例APN患者的病例资料,对其病史、临床表现、电生理学、脑脊液改变及治疗进行总结。结果4例APN患者均急性起病,有明显的自主神经受累表现:瞳孔异常、腹胀、腹泻、无汗等。肌电图提示轻度神经传导减慢。早期给予激素及静脉注射大剂量免疫球蛋白可能改善其预后。结论APN是一种罕见疾病,了解其临床特点有助于对患者早期诊断和积极治疗。 Objective To explore the clinical manifestations,diagnosis,treatment and prognosis of acute panautonomic neuropathy (APN).Methods We reviewed the history,clinical findings,electrophysiological characteristics,laboratory features of CSF and treatment of 4 patients with APN.Results All these patients showed acute onset with apparent involvement of the autonomic nervous system.The clinical features of autonomic involvement included fixed dilated pupils,abdominal pain,diarrhea,and anhidrosis.Electromyography showed evidence of peripheral neuropathy.Early treatment with corticosteroid and intravenous immunoglobulins resulted in improved prognosis of the patients.Conclusion APN is a rare autonomic nervous system disorder,and understanding of the clinical features may help in early diagnosis and treatment of the patients.
出处 《南方医科大学学报》 CAS CSCD 北大核心 2010年第4期900-902,共3页 Journal of Southern Medical University
基金 解放军总医院苗圃基金(06MP08)
关键词 吉兰-巴雷综合征 自主神经病 免疫球蛋白 Guillain-Barre syndrome autonomic neuropathy
  • 相关文献

参考文献10

  • 1Young RR, Asbury AK, Corbett JL. Pure pan-dysautonomia with recovery[J]. Trans Am Neurol Assoc, 1969, 94: 355.
  • 2丁美萍,程源深.急性全植物神经功能不全[J].中国神经免疫学和神经病学杂志,1998,5(1):61-63. 被引量:9
  • 3Ejima M, Ota K, Yamamoto K, et al. A case of acute pandysautonomia and diffuse brain stem impairment associated with EB virus infection [ J ]. Rinsho Shinkeigaku, 1994, 34(11 ): 1136-41.
  • 4Fukuda M, Morimoto T, Matsuda H, et al. A case of acute. idiopathic pandysautonomia with SIADH [ J ]. No To Hattatsu, 1995, 27(1): 41-6.
  • 5Bennett JL, Mahalingam R, Wellish MC, et al. Epstein-Barr virus associated acute autonomic neuropathy [J]. Ann Neurol, 1996, 40: 453.
  • 6Hart RG, Kanter MC. Acute autonomic ncuropathy [J ]. Arch Intern Med, 1990, 150: 2374.
  • 7Yokota T, Hayashi M, Himshima F, et al. Dysautonomia with acute sensory motor neuropathy. A new classification of acute autonomic neuropathy[J]. Arch Neurol, 1994, 51(10): 1022-31.
  • 8Feldman EL, Brombcrg MB, Blaivas M, et al. Acute pandysautonomic neuropathy [ J ]. Neurology, 1991, 41 (5): 746-8.
  • 9丁美萍,柴宏,黄红光.急性泛植物神经病(附1例报告)[J].中国神经精神疾病杂志,1996,22(1):32-33. 被引量:3
  • 10Ramirez C, De Seze J, Stojkovic T, et al. Pure subacute pandysautonomia: an assessment of treatment with intravenous polyvalent immunoglobuline [ J ]. Rev Neurol, 2004, 160:939-41.

二级参考文献1

  • 1林世和,中华神经精神科杂志,1991年,24卷,373页

共引文献10

同被引文献58

  • 1束晓梅,蔡方成.吉兰-巴雷综合征与神经节苷脂抗体[J].国外医学(神经病学.神经外科学分册),2004,31(6):525-528. 被引量:2
  • 2代亚美,王德生,王淑荣,胡晓蕾,赵庆杰,张黎明.吉兰-巴雷综合征患者的流行病学特点及其预后:5年254例资料回顾[J].中国临床康复,2006,10(24):18-21. 被引量:5
  • 3Feldman E L, Bromberg M B, Blaivas M, et al. Acute pandysau- tonomic neuropathy [ J ]. Neurology, 1991, 41 (5) : 746 - 748.
  • 4Young R R, Asbury A K, Corbett J L, et al. Pure pan - dysautonomia with recovery [Jl. Trans Am Neurol Assoc, 1969, 94:355 -357.
  • 5Bennett J L, Mahalingam R, Wellish M C, et al. Epstein- Barr virus associated acute autonomic neuropathy [ J ]. Ann Neurol, 1996, 40(3) : 453 -455.
  • 6Lukkarinen H, Peltola V. Influenza A. Induced acute autonomic neu- ropathy in an adolescent [J]. Pediatr Neurol, 2010, 43(6) : 425 -426.
  • 7Hart R G, Kanter M C. Acute autonomic neuropathy [ J]. Arch Intern Med, 1990, 150(11):2373-2376.
  • 8Koike H, Atsuta N, Adaehi H. Clinieopathologieal features of a- cute autonomic and sensory neuropathy [ J]. Brain, 2010, 133 (10) : 2881 -2896.
  • 9Schroeder C, Vernino S, Birkenfeld A L, et al. Plasma exchange for primary autoimmune autonomic failure [ J ]. N Engl J Med, 2005, 353 ( 15 ) : 1585 - 1590.
  • 10Ishitobi M, Haginoya K, Kitamura T, et al. Acute dysautonomia : complete recovery after two courses of IVIg [ J ]. Brain, 2004, 26 (8) : 542 - 544.

引证文献6

二级引证文献15

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部