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强直性肌营养不良的激发重复神经电刺激研究
引用本文:赵晓丽 陈芷若. 强直性肌营养不良的激发重复神经电刺激研究[J]. 临床神经病学杂志, 1996, 9(3): 146-148
作者姓名:赵晓丽 陈芷若
作者单位:南京医科大学附属脑科医院
摘    要:对9例强直性肌营养不良患者行激发重复神经电刺激检查。1例ARNS前见序列复合肌肉动作电位波幅递减,8例ARNS后出现首位CMAP波幅降低,其中6例伴序列CMAPs波幅递减。首位CMAP波幅降低出现率和平均降低程度随病程延长而加重。

关 键 词:强直性 肌营养不良 神经电刺激 递减反应

Activation repetitive nerve stimulation studies on myotonic dystrophy.
Zhao Xiaoli,Chen Zhiruo,Zhang Zhenliu,et al.. Activation repetitive nerve stimulation studies on myotonic dystrophy.[J]. Journal of Clinical Neurology, 1996, 9(3): 146-148
Authors:Zhao Xiaoli  Chen Zhiruo  Zhang Zhenliu  et al.
Affiliation:Zhao Xiaoli,Chen Zhiruo,Zhang Zhenliu,et al.Brain Hospital of Nanjing Medical University,Nanjing 210029.
Abstract:ARNS studies were made on 9 cases of MyD,8 cases (89%) showed decrease in amplitude of first compound muscle action potential (CMAP) which represented all CMAPs.And among them 6 cases showed declining response in amplitude of train CMAPs.The appearance rate of decrease in amplitude and the severity of mean decrement were related to the durations of the disease.We conjecture that the skeletal muscles of MyD have changes in excitability and contractility,and that these changes may be caused by the decreace in the number of normal muscle fibers.The declining response of MyD was different from myasthenia gravis.
Keywords:Myotonic dystrophy Activation repetitive nerve stimulation Declining response
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