吉林大学学报(医学版) ›› 2016, Vol. 42 ›› Issue (06): 1203-1206.doi: 10.13481/j.1671-587x.20160630

• 临床医学 • 上一篇    下一篇

连枷臂综合征1例报告并文献复习

王思鉴, 陈加俊, 齐心畅, 高鹤铭, 庞随随, 桑秋凌   

  1. 吉林大学中日联谊医院神经内科, 吉林 长春 130033
  • 收稿日期:2016-03-11 出版日期:2016-11-28 发布日期:2016-12-02
  • 通讯作者: 桑秋凌,主治医师(Tel:0431-84995307,E-mail:limoboy@sohu.com) E-mail:limoboy@sohu.com
  • 作者简介:王思鉴(1990-),女,吉林省长春市人,在读医学硕士,主要从事神经病学诊断和治疗方面的研究。
  • 基金资助:

    吉林省发改委科研基金资助课题(JF2012C008-4)

Flail arm syndrome: A case report and literature review

WANG Sijian, CHEN Jiajun, QI Xinchang, GAO Heming, PANG Suisui, SANG Qiuling   

  1. Department of Neurosurgery, China-Japan Union Hospital, Jilin University, Changchun 130033, China
  • Received:2016-03-11 Online:2016-11-28 Published:2016-12-02

摘要:

目的:分析1例连枷臂综合征(FAS)患者的临床资料,为其临床诊断和治疗提供依据。方法:患者入院后行神经系统检查,同时行头颅、颈椎及腰椎MRI和肌电图检查,临床诊断为FAS,给予改善循环、营养神经治疗。同时与国内外多例关于FAS的病例报告进行对比分析。结果:患者经神经系统检查及辅助检查后确诊为FAS,经对症治疗后病情持续进展,且上肢病变明显重于下肢,于出院后9个月因痰阻气道死亡。结论:当患者表现为双上肢近端为主的对称性肌无力和萎缩,经肌电图和影像学等检查排除其他原因时,应首先考虑患FAS的可能。

关键词: 连枷臂综合征, 运动神经元病, 影像学, 肌萎缩侧索硬化, 肌电图

Abstract:

Objective: To analyze the clinical materials of one patient with flail arm syndrome (FAS), and to provide evidence for its clinical diagnosis and treatment.Methods: The neurological examination,MRI of cranial,cervical and lumbar, and electromyogram (EMG) were performed in the patient and the patient was clinically diagnosed as FAS; the FAS patient was given the treatment to improve the circulation and nourish the nerves.At the same time, comparative analysis of the results between this case report and other case reports of FAS was performed.Results: The patient was diagnosed as FAS after neurological examination and accessory examination:after symptomatic treatment,the condition of patient had the continuous progress,and the upper extremities of the patient were heavier than those of the lower extremities.The patient died of phlegm blocking airway 9 months after discharged.Conclusion: The patients with bilateral symmetric proximal upper extremities weakness and atrophy should be considered as FAS after the other factors are excluded by EMG and imaging examinations.

Key words: flail arm syndrome, motor neuron disease, iconography, amyotrophic lateral sclerosis, electromyography

中图分类号: 

  • R741