无先兆型偏头痛患者间隙期脑血流检测

采用经颅多普勒超声（ＴＣＤ），脑血管血液动力学分析仪（ＣＢＡ）和磁共振成像（ＭＲＩ）等多种先进检查手段对无先兆型偏头痛患者头前间歇期进行检测。４０例患者进行了ＴＣＡ检查，结果示患者双组侧大脑中动脉平均血流速度增高，有９例患者颅内动脉平均流速不对称。４４例患者的ＣＢＡ检查显示，患者组脑血管外周阻力ＲＶ，动态阻力ＤＲ和临界压力ＣＰ增高。这些结果提示患者间歇期颅内血管紧张性增高，血流状态仍呈现不稳定性，     

36例桡神经嵌压神经肌电图分析

桡神经是支配上肢伸肌运动的主要神经，据神经解剖特点，易于在外侧肌间隔(螺旋沟)和旋后肌处发生嵌压。引起受损部位以下的伸肌无力、萎缩。常表现为不同程度垂腕或伸腕力弱和手指不能伸直。本文对1989年～1999年间，来复旦大学附属中山医院就诊的36例有上述症状的患者进行神经肌电图检查，并作如下分析。     

水溶性维生素与神经系统疾病

维生素是维持人体健康所必需的一类低分子有机化合物,人体每日对维生素需要量不大,但多数维生素不能在体内合成,即使能合成的少数几种维生素,在数量上亦不能满足机体的需要,故必须经常由动、植物食品中获得。维生素既不是构成机体各组织的原料,也不能供应能量,它们是某些辅酶(或辅基)的组成部分。     

W成形术结合皮肤磨削术治疗面部瘢痕38例分析(摘要)

我院自1986年以来共收治面部瘢痕及面部色性损害患者38例,采用W成形术结合皮肤磨削术治疗取得满意效果。现介绍如下: 年龄最小的17岁,最大的54岁。20～     

(Guillain-Barré-Strohl综合征(68例临床分析)

自从 Guillain,Barré和 Strohl 在1916年首次报告2例伴有脑脊液蛋白——细胞分离现象的多发性神经根神经炎以后,世界各地已有不少报导。但同一单位之病例数绝大部分在30例以下,严格按照 Guillain 等提出之诊断标准者则更少。本文系就1951年至1963年间住入我院神经病科、临床表现符合 Guillain 等最先提出之诊断要点的68例,作了临床分析包括其中1例病理解剖结果的报告。     

PERIPHERAL AND AUTONOMIC NERVE FUNCTION. TESTS IN EARLY DIAGNOSIS OF DIABETIC NEUROPATHY CORRELATION BETWEEN MOTOR NERVE CONDUCTION VELO- CITY AND FASTING PLASMA GLUCOSE

This paper reports the application of peri- pheral motor ne'rve conduction velocity (MNCV) determination and 6 noninvasive autonomic functional tests for the early diagnosis of dia- betic neuropathy. Among the 150 cases of new- ly discovered diabetics investigated during ex- tensive survey in Sha.nghai, 135 cases of tlia.- betic neuropathy were diagnosed. In this group, patients with both neurologic symptoms and signs were found in 56 cases, only symptoms with no signs in 50, only sign.s with no symp- toms in 8 and both symptoms and signs absent but diagnosis. based on special tests in 21. The motor nerve conduction velocity of the median n., ulnar n., and fibular n. were ascer- tained on JD Type II electromyography. The velocity was found to be significantly slower in diabetics with neuropathy than the control group. H-reflex and tibial n. Iatency were found to be prolonged in diabetics as compared with the control group. There is negative cor- relation 'oetween the MNCV and fa.sting plas- ma glucose and positive correla.tion between the H-reflex and fasting plasma glucose, indicating that hyperglycemia may be closely related to the pathogenesis of diabetic neuropathy. No correlation was found between the MNCV, age and duration of d[iabetes. For early diagno,sis of diabetic neuropathy, besides the symptoms and signs, motor nerve conduction velocity and 4 0f the 6 noninvasive autonomic ne'rve function test are valuable and reliable diagnostic procetlures. Differential diagnosis from other causes of neuropathy is also emphasized.     

腔隙性脑梗死的研究

随着影像学检查手段的不断进步,特别是ＭＲＩ在临床的广泛应用,腔隙性脑梗死（Ｌａｃｕｎａｒ ｉｎｆａｒｃｔｉｏｎ, ＬＩ）的诊断率大大提高,其在脑血管疾病中所占比例明显上升。西方国家报道ＬＩ占急性脑卒中的９．４％～２１．６％,香港华人中的统计结果为 １８．５％。在我国,早期的资料显示 ＬＩ在脑血管疾病中占 １９％,近年通过大量的流行病学调查,发现脑梗死在脑血管疾病中的发病率为 ６７．５％,其中约８０％为 ＬＩ。由于ＬＩ,特别是多发的,无症状的ＬＩ可能是局限性中风和血管性痴呆的重要危险因素,因此ＬＩ在脑血…     

腓总神经嵌压综合征3例报告

味总神经嵌压是下肢常见的嵌压性神经病变之一,病因不明确。由于明确位置原因引发的腓总神经嵌压的病例国内报道较罕见。我们现将戒毒冶疗过程中因下肢固定体位而导致的3例脉总神经嵌压报告如下。1临床资料3例患者均为女性,年龄22～28岁,消瘦体型。因吸食或嗜用鸦片类物在某戒毒所行持续性大剂量东直警碱加氯丙喀静脉滴注戒毒治疗。治疗中,因患者有大约24h的轻度燥狂及意识模糊,予以四肢腕、踝关节绷带束缚固定,双侧胭窝垫枕而呈下肢微屈仰卧位。行持续性大剂量东英吉碱加氯丙埃静脉滴注治疗后3～sd,2例患者诉单侧下肢麻木、踝关节背…