查詢結果分析
相關文獻
- A Study of Central and Peripheral Nerve Conduction in Patients with Primary Hypothyroidism: The Effects of Thyroxine Replacement
- 甲狀腺功能低下症患者中樞神經傳導之研究:甲狀腺素治療之效果
- 臺灣本土於中樞與神經系統調控內臟生理功能及退化性腦疾病之研究工作
- 腎衰竭病患常見的神經系統併發症
- 中樞神經疾患腦脊髓液的興奮性與抑制性氨基酸
- 運動治療對中樞神經系統受損病人有幫助嗎﹖
- 蛛網膜下腔出血引發神經性肺水腫--一急診病例報告暨文獻回顧
- 獨活與羌活粗抽取物對於中樞及鎮痛抗炎作用之研究
- Radiation Therapy in Primary Central Nervous System Lymphoma
- 糖尿病周邊神經病變
頁籤選單縮合
題 名 | A Study of Central and Peripheral Nerve Conduction in Patients with Primary Hypothyroidism: The Effects of Thyroxine Replacement=甲狀腺功能低下症患者之中樞及周邊神經傳導之研究:甲狀腺素治療之效果 |
---|---|
作 者 | 賴秋蓮; 劉景寬; 戴志達; 林瑞泰; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 14:5 1998.05[民87.05] |
頁 次 | 頁294-302 |
分類號 | 415.931 |
關鍵詞 | 甲狀腺功能低下症患者; 中樞神經; 周邊神經; 甲狀腺素治療; SSEP; PNC; Hypothyroidism; |
語 文 | 英文(English) |
中文摘要 | 本研究之目的是希望了解中樞及周邊神經於甲狀腺功能低下時之神經電氣生理學變化,以及其對於甲狀腺素( thyroxine )治療之效果。20 位罹患原發性甲狀腺功能低下症之患者, 在甲狀腺素治療前之體感覺誘發電位(Somato-sensory Evoked Potential; SSEP)及周邊神經傳導速度(Peripheral Nerve Conduction Studies; PNCS)檢查,其中11位患者體感覺誘發電位之潛時呈現有意義之延長(含N9、N13、及N20),但僅3患者具中樞傳導時間延長(Central Conductin Time,介於 N13至N20間之潛時);周邊神經傳導速度檢查則有14位患者呈現神經傳導速度減慢及振幅降低之現象。在甲狀腺素治療後,對應於中樞及周邊神經病變之臨床症狀的改善,儘管周邊神經傳導速度檢查之振幅並未能完全恢復至正常,體感覺誘發電位之潛時及周邊神經傳導速度檢查之傳導速度也都呈現有意義之進步。此外,這兩種神經電氣生理學檢查,在對應於臨床症狀及治療後之改善 情況,兩者間於治療前後的變化並不一致。由本研究我們的結論是:一、體感覺誘發電位及周邊神經傳導速度檢查可提供甲狀腺功能低下所引起的中樞及周邊神經病變之輔助性客觀評估;二、甲狀腺功能低下所引起的中樞及周邊神經功能異常可能是經由不同之致病機轉。 |
英文摘要 | Somato-Sensory Evoked Potential (SSEP) and Peripheral Nerve Conduction (PNC) studies were performed in twenty patients with primary hypothyroidism to elucidate the changes of central and peripheral nervous systems in hypothyroid state and the effects of thyroxine replacement. Before thyroxine replacement therapy, eleven patients and significantly delayed SSEP (prolonged latencies of N9, N13, or N20), and only three patients had prolonged central conduction time (between N13 and N20). PNC abnormalities with decreased conduction velocity and diminished amplitudes were found in fourteen patients. After thyroxine treatment, both SSEP and PNC studies demonstrated significant improvement and paralleled the clinical neurological amelioration. The central and peripheral conduction velocities returned to normal limits, while the abnormality in amplitude still persisted. There were also discrepancies between SSEP and PNC studies in both the abnormality pattern and the recovery potential. Our observations may suggest: firstly, both the SSEP and PNC studies may be useful, alternative tools in monitoring the neurological disorders in hypothyroidism; and secondly, the pathogenesis of central and peripheral nervous dysfunction in hypothyroidism may be via different mechanisms. |
本系統中英文摘要資訊取自各篇刊載內容。