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遗传性骨骼肌离子通道病诊断和治疗进展

柯青

中风与神经疾病杂志2025,Vol.42Issue(5):401-408,8.
中风与神经疾病杂志2025,Vol.42Issue(5):401-408,8.DOI:10.19845/j.cnki.zfysjjbzz.2025.0077

遗传性骨骼肌离子通道病诊断和治疗进展

Progress on the diagnosis and treatment of hereditary skeletal muscle ion channelopathies

柯青1

作者信息

  • 1. 浙江大学医学院附属第一医院神经内科,浙江 杭州 310003||浙江大学医学院附属第一医院江西医院神经内科,江西 南昌 330006
  • 折叠

摘要

Abstract

Hereditary skeletal muscle ion channelopathies are a group of heterogeneous hereditary diseases caused by mutations in the skeletal muscle ion channel genes.According to clinical manifestations,hereditary skeletal muscle channelopathies are classified into two major categories:non-dystrophic myotonia and periodic paralysis.Non-dystrophic myotonia includes myotonia congenita,paramyotonia congenita,and sodium channel myotonia.Periodic paralysis in-cludes hypokalemic type,normal serum potassium type,hyperkalemic type,and Andersen-Tawil syndrome.Because of an overlap between non-dystrophic myotonia and periodic paralysis in clinical phenotype and molecular mechanism,a few patients can simultaneously exhibit the phenotypes of both conditions,indicating that hereditary skeletal muscle channelo-pathies are a continuity in the clinical spectrum.This article reviews the classifications,clinical manifestations,diagnos-tic criteria,genetic pathological types,pathogenic mechanisms,and treatment approaches and progress of hereditary skel-etal muscle ion channelopathies.

关键词

遗传性骨骼肌通道病/非营养不良性肌强直/周期性麻痹

Key words

Hereditary skeletal muscle channelopathy/Non-dystrophic myotonia/Periodic paralysis

分类

临床医学

引用本文复制引用

柯青..遗传性骨骼肌离子通道病诊断和治疗进展[J].中风与神经疾病杂志,2025,42(5):401-408,8.

基金项目

江西省创新领军人才(jxsp2023102164) (jxsp2023102164)

中风与神经疾病杂志

1003-2754

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