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Mononeuritis

Chia sẻ: Nguyen Uyen | Ngày: | Loại File: PDF | Số trang:5

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Mononeuritis multiplex involves damage to at least 2 separate nerve areas. This condition can become progressively worse over time. The damage to the nerves involves destruction of the axon (ie, the part of the nerve cell that is analogous to the copper part of a wire), thus interfering with nerve conduction. Common causes of damage include a lack of oxygen from decreased blood flow or inflammation of blood vessels. Approximately 33% of cases originate from unidentifiable causes.

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  1. Mononeuritis Pathophysiology Mononeuritis multiplex involves damage to at least 2 separate nerve areas. This condition can become progressively worse over time. The damage to the nerves involves destruction of the axon (ie, the part of the nerve cell that is analogous to the copper part of a wire), thus interfering with nerve conduction. Common causes of damage include a lack of oxygen from decreased blood flow or inflammation of blood vessels. Approximately 33% of cases originate from unidentifiable cause s. Symptoms Numbness  Tingling  Abnormal sensation  Burning pain - Dysesthesia 
  2. Difficulty moving a body part - Paralysis  Lack of controlled movement of a body part  Physical Loss of sensation and movement may be associated with dysfunction of specific nerves. Examination reveals preservation of reflexes and good strength except in regions more profoundly affected. Some common findings of mononeuritis multiplex may include the following (not listed in order of frequency): Sciatic nerve dysfunction  Femoral nerve dysfunction  Common peroneal nerve dysfunction  Axillary nerve dysfunction  Radial nerve dysfunction  Median nerve dysfunction  Ulnar nerve dysfunction  Tardive ulnar palsy  Peroneal nerve palsy 
  3. Autonomic dysfunction - The part of the nervous system that controls  involuntary bodily functions, such as the glands and the heart Radiculopathy Radiculopathy is not a specific condition, but rather a description of a problem in which one or more nerves are affected and do not work properly (a neuropathy).
  4. The emphasis is on the nerve root (Radix = "root"). This can result in pain (radicular pain), weakness, numbness, or difficulty controlling specific muscles. In a radiculopathy, the problem is at or near the root of the nerve, along the spine. However, the pain or other symptoms may manifest in an extremity through a process called referred pain. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm. Polyradiculopathy is the name of the term for describing when more than one spinal nerve roots are affected. Causes The nerve(s) may be inflamed, pinched (compressed), or working ineffectively due to a lack of blood flow. The nerve could be affected by a progressive disease that is destroying it in part or in whole. The "straight leg raise test" ca n help to diagnosis a lumbar or sacral nerve root radiculopathy. Types Forms of radiculopathy and related conditions: Cervical radiculopathy: Radiculopathy in the cervical spine Cauda equina syndrome
  5. Paraplegia Sciatica Quadraplegia Piriformis syndrome
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