RESUMO
The study proved occupational and everyday strain of muscles and ligaments to be risk factor for ischemic and compression neuropathy. The pathologic changes appeared to involve not only compression points, but also the sites distant from the primary area and ultimately the whole axon. Therefore, spinal roots and nerves could be affected by complicated and multiple ischemic and compression radiculopathies demonstrating typical clinical signs.
Assuntos
Materiais de Construção , Síndromes de Compressão Nervosa/etiologia , Doenças Profissionais/etiologia , Raízes Nervosas Espinhais , Humanos , Síndromes de Compressão Nervosa/diagnóstico , Síndromes de Compressão Nervosa/prevenção & controle , Doenças Profissionais/diagnóstico , Doenças Profissionais/prevenção & controle , Fatores de RiscoRESUMO
There are two major variants of nerve trunk disease progression: demyelinating and axonal-axial. The authors have developed a significant and rapid diagnostic procedure to differentiate the type of nerve trunk affection based on simultaneous assessment of two parameters (immunological and electroneuromyographic) carrying out correlations between them. The immunological investigation included measurement of the serum autoantibodies to galactocerebrosides titer.
Assuntos
Doenças do Sistema Nervoso Periférico/diagnóstico , Autoanticorpos/sangue , Doenças Desmielinizantes/diagnóstico , Doenças Desmielinizantes/etiologia , Diagnóstico Diferencial , Eletrodiagnóstico , Feminino , Galactosilceramidas/imunologia , Humanos , Masculino , Pessoa de Meia-Idade , Síndromes de Compressão Nervosa/diagnóstico , Síndromes de Compressão Nervosa/etiologia , Doenças do Sistema Nervoso Periférico/etiologiaRESUMO
Investigations were made to examine vegetovascular disorders in patients with inherited and acquired neuropathies (regional vegetative innervation, peripheral circulation and the thermal status of the limbs). Comprehensive, pathogenetically based treatment methods were developed. Using clinico-neurological, thermography, rheovasography and electrothermography research methods the following alterations were revealed in the autonomic areas of innervation of affected nerves: the signs of vegetovascular irritation; the signs of vegetovascular depression; a phenomenon of thermovision "amputation". Bearing in mind the diagnostic data, the patients were given differentiated pathogenetic therapy including physiotherapy and vegetotropic drugs.