Electrodiagnostic definition of the site and nature of peripheral nerve lesions.
Electrodiagnostic definition of the site and nature of peripheral nerve lesions.
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周围神经病变部位和性质的电诊断定义。
DOI：
10.1093/rheumatology/v.5.149
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发表时间：
1960
期刊：
影响因子：
--
通讯作者：
P. Bauwens
中科院分区：
文献类型：
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作者：
P. Bauwens
HITHERTO周围神经病变电诊断的进展与历史和地理有关。战争造成了周围神经损伤的流行病，而工业区则以更普遍的规模提供了这种对学习和研究至关重要的商品。电子学在电诊断设备中的应用，如精确的刺激器和多功能的肌电图设备，改变了这种情况;与其说是急性创伤性外周神经损伤，不如说是慢性性质的更微妙的损伤。其原因是这些现代技术提供了对更多具有诊断意义的参数的测量。直到最近，沿着神经纤维的传导速度及其与纤维口径的关系对临床医生来说仅是学术上的兴趣。今天，它已经获得了意想不到的重要性（Hodes等，1948; Lambert，1956; Simpson，1956; Gilliatt和托马斯，1957）。这同样适用于检测兴奋性阈值的总体变化，最小去神经支配的迹象，以及通过刺激或压迫神经纤维的自动兴奋。尽管在第二次世界大战期间和战后取得了巨大的进步，但周围神经损伤的情况仍然围绕着三种不同类型的条件：神经失用症，轴突断伤和神经断伤
HITHERTO advances in electrodiagnosis of peripheral nerve lesions have been related to history and geography. Wars have produced epidemics of peripheral nerve injuries, while industrial areas have supplied this commodity, so essential for study and research, on a more endemic scale. The application of electronics to the electrodiagnostic armamentarium in the shape of accurate stimulators and versatile electromyographic equipment has changed this situation; not so much in respect of peripheral nerve injuries of acute traumatic origin as of more subtle lesions of a more chronic nature. The reason for this is that these modern techniques provide for the measurement of a greater number of parameters of diagnostic significance.Until recently the velocity of conduction along a nerve fibre and its relation to the calibre of the fibre was of only academic interest to the clinician. To-day it has acquired an unexpected importance (Hodes et ah, 1948; Lambert, 1956; Simpson, 1956; Gilliatt and Thomas, 1957). The same applies to the detection of gross changes in thresholds of excitability, of signs of minimal denervation, and of auto-excitation of nerve fibres through irritation or compression. Despite the immense strides made during and immediately after the Second World War, the situation as regards peripheral nerve injuries revolved round three distinct types of conditions: neurapraxia, axonotmesis, and neurotmesis