神经痛性肌萎缩4例报道

发布时间：2019-04-19 18:58

【摘要】：[目的]通过对4例神经痛性肌萎缩的病例报道,分析该病的临床表现、治疗及预后情况,提高对本病的确诊率,减少误诊误治。[方法]收集4例神经痛性肌萎缩患者的临床资料,对其临床症状、检验、检查结果进行对比分析。[结果]临床表现为急性或亚急性起病,进行性加重,多为单侧肩背部和(或)上肢的剧烈疼痛,随后出现肌无力、肌萎缩,最常累及冈上肌和冈下肌,其次是三角肌;肌电图呈神经源性损害的表现;疼痛程度、持续时间与肌无力、肌萎缩程度呈正比;肌电图与临床严重程度呈正比;激素、维生素、理疗虽不能改变自然病程,但可以缓解症状,并且治疗越早效果越好。[结论]神经痛性肌萎缩临床表现缺乏特异性,肌电图有助于本病的诊断,该病通常是自限性的,预后良好。
[Abstract]:[objective] to analyze the clinical manifestation, treatment and prognosis of 4 cases of neuralgia muscular atrophy, so as to improve the diagnostic rate of the disease and reduce misdiagnosis and mistreatment. [methods] the clinical data of 4 patients with neuralgia muscular atrophy were collected, and the clinical symptoms, tests and results were compared and analyzed. [results] the clinical manifestations were acute or subacute onset, progressive aggravation, mostly severe pain in the back of shoulder and / or upper limb, followed by muscle weakness, muscular atrophy, most often involving supraspinatus muscle and subganglia muscle, followed by deltoid muscle. Electromyography showed neurogenic damage, the degree and duration of pain were proportional to myasthenia and muscular atrophy, electromyography was proportional to clinical severity, and the degree of pain and duration was proportional to the degree of myasthenia and atrophy. Hormones, vitamins, physiotherapy can not change the natural course of disease, but can relieve symptoms, and the sooner the treatment is better. [conclusion] the clinical manifestation of neuralgia muscular atrophy is lack of specificity. Electromyography is helpful for the diagnosis of this disease, which is usually self-limited and has a good prognosis.
【作者单位】：解放军第88医院神经内科;
【分类号】：R746.4

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