Abstract:
This paper aims to investigate the clinical features and treatment of patients with acutemotor axonal neuropathy (AMAN). The clinical data of 9 patients with AMAN treated in our hospital were retrospectively analyzed from prodromal infections, clinical features, neuroelectrophysiological examination, treatment and the scores of Hughes functional grading scale. Diarrhea was the most common prodromal infection, and weakness of four limbs and muscles atrophy acutely emerged. The patient's condition progressed rapidly. In these cases, therapy of immunoglobulin combined with methylprednisolone was effective. Therefore, early diagnosis and timely treating with immunoglobulin therapy are most important methods to improve the prognosis.
Key words:
Guillain-Barre syndrome,
Electrophysiology,
Immunotherapy
摘要:
分析9 例急性运动轴索性神经病患者临床特征与治疗方法。对9 例急性运动轴索性神经病患者前驱感染症状、临床表现、神经电生理学检查、治疗原则及出院时神经系统损害恢复评分进行分析,腹泻为其常见前驱感染,并迅速出现四肢瘫痪、肌肉萎缩,病情进展迅速;静脉注射免疫球蛋白辅助甲泼尼龙冲击治疗有效。早期诊断、及时予以免疫治疗对改善患者预后至关重要。
关键词:
格林-巴利综合征,
电生理学,
免疫疗法
LI Jie-ying, CHEN Hai, DONG Hui-qing, JIA Jian-ping, YI Yang. Clinical features and treatment of acute motor axonal neuropathy[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2015, 15(12): 990-993.
李洁颖, 陈海, 董会卿, 贾建平, 易洋. 急性运动轴索性神经病临床分析[J]. 中国现代神经疾病杂志, 2015, 15(12): 990-993.