急性泛自主神经病病例分析(附4例报告)

目的 研究急性泛自主神经病(APN)的临床特点,以探讨其诊断要点、治疗和预后.方法 回顾性分析4例APN患者的病例资料,对其病史、临床表现、电生理学、脑脊液改变及治疗进行总结.结果 4例APN患者均急性起病,有明显的自主神经受累表现:瞳孔异常、腹胀、腹泻、无汗等.肌电图提示轻度神经传导减慢.早期给予激素及静脉注射大剂量免疫球蛋白可能改善其预后.结论 APN是一种罕见疾病,了解其临床特点有助于对患者早期诊断和积极治疗.

Acute panautonomic neuropathy: a report of 4 cases

Objective To explore the clinical manifestations,diagnosis,treatment and prognosis of acute panautonomic neuropathy (APN).Methods We reviewed the history,clinical findings,electrophysiological characteristics,laboratory features of CSF and treatment of 4 patients with APN.Results All these patients showed acute onset with apparent involvement of the autonomic nervous system.The clinical features of autonomic involvement included fixed dilated pupils,abdominal pain,diarrhea,and anhidrosis.Electromyography sh...