多发性神经病患儿进行电诊断研究后的下一步是什么?实验室和其他诊断测试的理由。

IF 0.8 Q4 CLINICAL NEUROLOGY Iranian Journal of Child Neurology Pub Date : 2023-01-01 Epub Date: 2023-10-26 DOI:10.22037/ijcn.v17i4.43124
Marzieh Babaee, J Andoni Urtizberea, Farzad Fatehi, Seyed Mansoor Rayegani
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引用次数: 0

摘要

儿科多发性神经病的病因各不相同,其中遗传性或代谢性疾病远比成人常见。然而,可治疗的多发性神经病在这些环境中也很普遍,是需要优先考虑的疾病。此外,与成人相比,诊断儿童的亚急性和慢性症状具有挑战性。因此,选择最佳和最相关的实验室检查和辅助临床研究至关重要。在资源或保险范围有限的国家,这项任务可能相对具有挑战性。本研究描述了在儿童中发现的各种类型的多发性神经病及其特征,并提出了在伊朗医疗保健系统中使用最佳实验室检查的算法。
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What is the Next Step after an Electrodiagnostic Study in Children with Polyneuropathies? Rationale for Laboratory and Other Diagnostic Tests.

The etiology of polyneuropathies varies in the pediatric population, where hereditary or metabolic disorders are far more common than in adults. However, treatable polyneuropathies, also prevalent in these settings, are those to prioritize. Moreover, diagnosing subacute and chronic symptoms in children can be challenging compared to adults. Therefore, selecting the best and most relevant laboratory investigations and paraclinical studies is critical. This taskcan be relatively challenging in countries with limited resources or insurance coverage. This study describe the various types of polyneuropathies found in children and their characteristics and suggest an algorithm for using the best laboratory tests in the context of the Iranian healthcare system.

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