慢性炎性脱髓鞘性多发性神经根神经病诊疗要点解析  

The key points in diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy

作　　者：刘明生[1] 崔丽英[1] Liu Mingsheng;Cui Liying(Department of Neurology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院神经科,北京100730

出　　处：《中华神经科杂志》2023年第6期705-708,共4页Chinese Journal of Neurology

摘　　要：诊断慢性炎性脱髓鞘性多发性神经根神经病时,需要寻找关键的诊断依据,包括临床特点、电生理脱髓鞘改变、脑脊液蛋白细胞分离现象、周围神经影像学表现、周围神经病理改变以及免疫治疗效果等。每一个诊断依据,都必须与临床背景以及其他证据综合分析,才能真正发挥作用,以避免漏诊而延误治疗,并防止过度诊断导致不必要的免疫治疗。The diagnosis of chronic inflammatory demyelinating polyradiculoneuropathy relies on clinical features,demyelinating changes on motor and sensory nerve conduction studies,elevated cerebrospinal fluid protein,peripheral nerve image,nerve pathology,and response to immune therapy.Each diagnostic proof should be interpreted in light of clinical background and other findings,to avoid misdiagnosis or overdiagnosis,treatment delay or unnecessary treatment with immunotherapy.

关 键 词：多发性神经根性神经病 慢性感染性脱髓鞘性 诊断 神经电生理 脑脊液 周围神经 放射摄影术 

分 类 号：R744.5[医药卫生—神经病学与精神病学]