帕金森氏病的神经电图异常:帮助诊断的潜在生物标志物

Yiying Hu
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摘要

帕金森病(PD)是一种常见的神经退行性疾病,病理特征为黑质多巴胺能神经元进行性变性。虽然已经建立了各种PD的生物标志物和影像学标准,但仍然缺乏客观可靠的评估方法。神经电图作为诱发复合肌动作电位的一种客观测量方法,用于评估周围神经的完整性,在PD合并神经肌肉损伤的诊断和鉴别诊断中具有重要意义。为帕金森病运动功能的评价和量化提供参考。本文综述了近年来PD的神经电图临床研究进展,包括周围神经传导速度、针肌电图、表面肌电图和运动单位数估计。神经电图在帕金森病诊断中的潜在价值也被提及。
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Electroneurography abnormality in Parkinson’s disease: a potential biomarker to help diagnosis
Parkinson’s disease (PD) is a common neurodegenerative disease, pathologically characterized by the progressive degeneration of dopaminergic neurons in the substantia nigra. Although various biomarkers and imaging criteria for PD have been established, objective and reliable evaluation methods are still lacking. Electroneurography, as an objective measurement of evoked compound muscle action potentials, is used to assess the integrity of the peripheral nerve and is important in the diagnosis and differential diagnosis of PD with neuromuscular injury. Moreover, it provides references for the evaluation and quantification of the motor function in PD. Here, we summarize recent advances in clinical research of electroneurography in PD, including the peripheral nerve conduction velocity, needle electromyography, surface electromyography, and motion unit number estimation. The potential values of electroneurography in PD diagnosis are also involved.
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