神经电生理特点对平山病患者的临床诊断分析  

Clinical Diagnosis and Analysis of Neurophysiological Characteristics in Patients with Hirayama’s Disease

作　　者：李宏伟[1] 周瑞玲[1] 陈名峰[1] 谢之 陈昂[1] 薛晓静 LI Hong-wei;ZHOU Rui-ling;CHEN Ming-feng;XIE Min-zhi;CHEN Ang;XUE Xiao-jing(Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院

出　　处：《中国医药指南》2019年第26期9-10,共2页Guide of China Medicine

摘　　要：目的观察神经电生理特点对平山病的诊断价值。方法对2013年9月至2018年2月于福建省立医院就诊的12例平山病患者常规肌电图及神经传导检测。结果12例患者SCV和SNAP波幅均在正常范围;DML延长者尺神经2例(16.7%)、正中神经1例(8.3%);CMAP波幅降低者尺神经7例(58.3%)、正中神经3例(25.0%);F波尺神经出现率异常11例(91.6%),潜伏期延长4例(33.3%),正中神经出现率异常8例(66.6%),潜伏期延长3例(25%);11例患者针极肌电图示双上肢肌肉均有神经源性损害,12例患者所检下肢肌肉、下胸段脊旁肌及胸锁乳突肌肌电图均未见异常。结论平山病的神经电生理学特点对该病具有重要诊断与鉴别诊断价值。Objective To observe the diagnostic value of the neuroelectrophysiological characteristics for Hirayama disease.Methods The routine EMG and nerve conduction of 12 patients with Hirayama disease who were treated in Fujian Provincial Hospital from September 2013 to February 2018 were measured.Results There were no abnormal SCV and SNAP amplitudes in 12 patients;ulnar nerve in 2(16.7%)and median nerve in 2(8.3%)patients with prolonged DML;ulnar nerve in 7(58.3%)patients with decreased CMAP amplitude and median nerve in 3(25.0%);ulnar nerve in 11(91.6%)patients with abnormal F wave,4(33.3%)patients with prolonged latency,and positive.The incidence of abnormal middle nerve was 8(66.6%)and the latency was prolonged in 3(25%).The electromyogram of needle pole in 11 cases showed neurogenic lesions in both upper limbs,while the electromyogram of lower limbs,lower thoracic paraspinal muscles and sternocleidomastoid muscles in 12 cases showed no abnormality.Conclusion The neuroelectrophysiological characteristics of Hirayama disease have important diagnostic and differential diagnostic value for this disease.

关 键 词：平山病 肌电图 神经传导 

分 类 号：R745.7[医药卫生—神经病学与精神病学]