| 薛璐璐,张丽萍.平山病2例报道暨文献复习[J].浙江中西医结合杂志,2016,26(2): |
| 平山病2例报道暨文献复习 |
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| 投稿时间：2015-07-25 修订日期：2015-09-10 |
| DOI： |
| 中文关键词: 平山病 诊断 误诊 |
| 英文关键词:HD , diagnosis, misdiagnosis |
| 基金项目: |
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| 摘要点击次数: 1205 |
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| 中文摘要: |
| 目的 深入了解平山病的机制、临床表现、诊断标准及鉴别诊断，提高临床医生对疾病的认识，降低误诊率。方法 回顾性分析浙江省中医院收治的2例平山病病例的特点，总结平山病的机制、临床表现、诊断标准及鉴别诊断。结果 本文2例病例均为青年男性，2例均以单侧上肢肌无力及肌萎缩起病，1例有寒冷麻痹，1例有平举震颤，1例有前臂斜坡样萎缩，1例伴腱反射亢进，均无肌张力增高及明显肉跳感或肌束震颤，2例肌电图均有神经源性损害及屈颈位MRI有特征性改变即硬膜外腔内月牙形异常信号或流空血管影。结论 寒冷麻痹、平举震颤、前臂斜坡样肌萎缩是平山病的特征性临床特征，肌电图及屈颈位MRI对平山病的诊断有重要意义。 |
| 英文摘要: |
| Objective Have a thorough understanding of Hirayama Disease mechanism, clinical manifestation, diagnostic criteria and differential diagnosis, improve clinicians understanding of disease and reduce the rate of misdiagnosis. Method analysis the characteristics of two Hirayama disease cases in Chinese medicine hospital of Zhejiang province. Summarize mechanism, clinical manifestation diagnostic criteria and differential diagnosis of Hirayama Disease. Result two cases are both young men in this passage. Both of them are caused by unilateral upper limb muscle weakness and muscle atrophy. One of them has Cold paralysis. One man has resting tremor. The other has Forearm slope atrophy. One case has hyperfunction of tendon reflex. Both cases have no hypermyotonia obvious jump feeling or fasciculation. emg electromyogram of two cases both have myogenic lesion and the MRI has characteristic change, which has Crescent abnormal signal in epidural space or signal voids of vessel. Summary Cold paralysis, resting tremor, unilateral upper limb muscle weakness are the Characteristic clinical features of Hirayama Disease. emg electromyogram and MRI have a very important influence on the diagnosis of hirayama disease |
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