肌萎缩侧索硬化症患者的临床与神经电生理特点分析 |
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引用本文: | 邹艺,刘英,李素荣,胥勋成,羊洁,冯建华.肌萎缩侧索硬化症患者的临床与神经电生理特点分析[J].临床神经电生理学杂志,2014(1):29-31,40. |
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作者姓名: | 邹艺 刘英 李素荣 胥勋成 羊洁 冯建华 |
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作者单位: | 四川省医学科学院·四川省人民医院神经内科,四川成都610072 |
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摘 要: | 目的:探讨肌萎缩侧索硬化症(ALs)患者的临床特点以及肌电图(EMG)和神经传导检测对ALS的诊断价值。方法:对56例ALS患者回顾性分析其临床特点、神经传导检测及其胸锁乳突肌、下胸段脊旁肌及肢体肌的EMG资料。结果:56例患者均呈广泛神经原性损害,胸锁乳突肌EMG异常率为89%,胸段脊旁肌EMG异常率为77%。两者异常率均低于上、下肢肌EMG的异常率(分别为100%,91%)。结论:早期EMG及神经传导检测有助于ALS的早期确诊,行胸锁乳突肌及下胸段脊旁肌EMG检测对ALs的诊断及鉴别诊断有重要价值。
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关 键 词: | 肌萎缩侧索硬化症(ALS) 肌电图(EMG) 神经传导 胸锁乳突肌 脊旁肌 |
Aalysis of electroneurophysiological and clinical characteristics in patients with amyotro- phic lateral sclerosis |
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Institution: | ZOU Yi, LIU Ying, LI Surong, et al Department of Neurology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hos pital ,Chengdu (610072), China |
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Abstract: | Objective: To investigate the features of clinical electromyography(EMG) and nerve conductive velocity(NCV) in patients with amyotrophic laterial sclerosis(ALS)and explore its diagnostic value for ALS. Methods:Fifty-six patients with ALS during 2005 to 2013 were observed retrospectively about their clinical festures,routinue electromyography(EEG) on limbs, sternoeleidomastoid, lower tho- racic paraspinal muscles and nerve conductive velocity. Results:Extensive neurogenie damage was discov- ered in 56 patients with ALS. The abnormality rate of EMG of sternocleidomastoid muscles was 89~, (The abnormality rate: 77~f00 of EMG of thoracic paraspinal muscles was lower than that of upper and lower limb muscles (100%, 91% ). Conclusion: Early EMG and nerve conductive velocity examination are helpful for early ALS diagnosis. EMG examination for sternocleidomastoid muscles and lower thoracic pa- raspinal muscles plays an important role in ALS diagnosis and differential diagnosis. |
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Keywords: | Amyotrophic laterial sclerosis(ALS) ~ Electromyography(EMG) nerve conductions~Sternocleidomastoid muscles ~ Thoracic paraspinal muscles |
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