О возможностях параклинических методов исследования в диагностике хронической воспалительной демиелинизирующей полиневропатии: клиническое наблюдение
Статья в журнале
Русский
Библиогр.: с. 84 (3 назв.)
616.831-002:616.833-002
хроническая воспалительная демиелинизирующая полиневропатия (ХВДП); диагностика; критерии диагностики; ликвор; МРТ; ЭМГ; УЗИ; компьютерная паллестезиометрия; белково-клеточная диссоциация; плазмаферез; chronic inflammatory demyelinating polyneuropathy; diagnostics; diagnostic criteria; CSF; MRI; EMG; computerized pallestesiometry; protein-cell dissociation; plasmapheresis
Медицина и здравоохранение / Клиническая медицина /Неврология
Вестник Северо-Восточного федерального университета им. М. К. Аммосова. – 2017. – N 04 (09)
C. 82-84
Вестник Северо-Восточного федерального университета им. М. К. Аммосова
Якутск, Северо-Восточный федеральный университет
2222-5404 (print)
РИНЦ 2017: 0,237
The diagnostics of chronic inflammatory demyelinating polyneuropathy (CIDP) is a difficult task, as the classical diagnostic criteria are not specific enough, the clinical picture of the disease is polymorphic, and there are no reliable biomarkers of this disease. The diagnosis is based on a characteristic clinical picture and is confirmed by the detection of the demyelinating type of peripheral nerve damage in electroneuromyography or nerve biopsy, as well as excluding other diseases that may be accompanied by a similar clinical picture. Currently, the importance of lumbar puncture in the diagnostics of CIDP is being questioned, since not all patients, especially at the outpatient level, are undergoing this procedure, and typical protein-cell dissociation in approximately 40 % of patients may not be detected, especially in the first 2 weeks from the moment of the disease. Therefore, in the diagnostics of CIDP, especially its atypical forms, they introduce such methods as computerized pallestesiometry, ultrasound examination of peripheral vessels, magnetic resonance imaging of the nerve roots, and blood testing for antibodies to viruses tropic to nervous tissue. The article deals with the clinical case of a CIDP patient, who does not have a typical protein-cell dissociation in CSF, however, other paraclinic data, characteristic of inflammatory polyneuropathies, are manifested
О возможностях параклинических методов исследования в диагностике хронической воспалительной демиелинизирующей полиневропатии: клиническое наблюдение / Т. Е. Попова, А. А. Таппахов, А. Д. Алексеева, Л. Т. Тимофеева // Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Серия: Медицинские науки.— 2017. — N 4 (09). — С. 82-84.
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