首都医科大学学报 ›› 2002, Vol. 23 ›› Issue (4): 336-338.

• 临床研究 • 上一篇    下一篇

强直性肌营养不良的临床与电生理研究

赵筱玲, 王宪玲, 邢华芳   

  1. 首都医科大学宣武医院神经内科
  • 收稿日期:2002-05-23 修回日期:1900-01-01 出版日期:2002-10-15 发布日期:2002-10-15

Clinical and Electrophysiological Study of Myotonic Dystrophy

Zhao Xiaoling, Wang Xianling, Xing Huafang   

  1. Department of Neurology, Xuanwu Hospital, Affiliate of Capital University of Medical Sciences
  • Received:2002-05-23 Revised:1900-01-01 Online:2002-10-15 Published:2002-10-15

摘要: 对24例强直性肌营养不良病人进行了肌电图和神经传导速度检查,研究其临床表现与电生理改变.结果:46%病人至少有2条不同神经的感觉或运动神经传导速度检查异常,其中感觉或运动神经传导速度均为轻度减慢,但神经传导的复合肌肉动作电位或感觉神经动作电位波幅均明显下降;病情的轻重与病人的年龄呈正相关关系.提示:强直性肌营养不良症合并周围神经病并不罕见,并且属于一种感觉/运动轴索型周围神经病;病人年龄越大,病情越重.

关键词: 强直性肌营养不良, 肌营养不良, 肌电图, 神经传导速度, 周围神经病

Abstract: To study clinical and electrophysiological features in myotonic dystrophy. Methods: Electromyography(EMG)and nerve conduction velocity were performed in twenty-four patients with myotonic dystrophy. Results: In 46% of cases,(motor/or sensory)nerve conduction velocity was abnormal in at least two separate nerves. It was characterized by mildly slowing motor/or sensory nerve conduction and reducing amplitude of compound motor action potential(CMAP)/or sensory nerve action potential(SNAP). The severity of disease was associated with the patient's age. Conclusion: Peripheral neuropathy in myotonic dystrophy is not rare. It is a sensorimotor axonal peripheral neuropathy. The clinical symptoms are worse in older patients.

Key words: myotonic dystrophy|muscular dystrophy|electromyography(EMG)|nerve conduction velocity|peripheral neuropathy

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