TAILIEUCHUNG - Neuromuscular Diseases A Practical Guideline - part 7

Tham khảo tài liệu 'neuromuscular diseases a practical guideline - part 7', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | 284 Bacterial and parasitic neuropathies Genetic testing NCV EMG Laboratory Imaging Biopsy Borrelia Burgdorferi Lyme disease Clinical syndrome signs Pathogenesis The earliest stage of Lyme disease stage I is characterized by the unique skin rash and symptoms of general infection. Neuroborreliosis begins in stage II of the disease. In stage II disease the most common occurrence is lymphocytic meningoradi-culitis. Motor and sensory symptoms may occur variably and undulate in severity over the course of months. Half of patients have focal or multifocal cranial nerve disease including the facial trigeminal optic vestibulocochlear and oculomotor nerves. Late stage II disease involves distal symmetric sensory neuropathy and encephalomyelitis lasting for weeks or months. Motor signs are rare. Asymmetric oligoarthritis cardiac impairment and myositis can occur alongside a variety of CNS conditions in stage III disease. Demyelination and subacute encephalitis may be accompanied by ataxia spastic paraparesis bladder dysfunction cognitive problems and dementia. Lyme disease sometimes known as Bannwarth s syndrome in Europe is caused by infection with the Borrelia Burgdorferi spirochete. The infection is transmitted by bites from the Ixodes dammini scapularis and pacificus tick species. The cause of peripheral neuropathy following infection is unclear although there is cross reactivity between spirochete antigens and epitopes from Schwann cells and PNS axons. Diagnosis Serology commonly leads to false positives. A combination of ELISA and Western blot of CSF and serum is more reliable. PCR of blood and CSF is the most specific method and can be used for difficult cases. Therapy Antibiotics are important both for eradication of the infection and quick resolution of painful symptoms. The usefulness of steroids for pain management is not clear at this point. Prognosis Antibiotic therapy typically leads to resolution of neurological symptoms in a few weeks to months. This is trial

• Y học thường thức
• BMC Anesthesiology
• Neuromuscular blockade
• Residual neuromuscular blockade
• Neuromuscular blockade monitoring
• Confidence interval
• Neuromuscular blocking agent
• Selective relaxant binding agent
• Phrenic nerve
• Neuromuscular function
• Neuromuscular Junction
• Neuromuscular Transmission
• Presynaptic Disorders
• Postsynaptic Disorders
• Neuromuscular blocking agents
• Geriatric patients
• Neuromuscular monitoring
• Rocuronium neuromuscular block
• Reversal of neuromuscular block
• Reversal drug under dosing
• Residual and recurring neuromuscular block
• Oxford textbook of neuromuscular disorders
• Neuromuscular disorders
• Autonomic neuropathies
• Multiple mononeuropathies
• Diabetic neuropathy
• Peripheral nerve hyperexcitability disorders
• Inherited myasthenic syndromes
• Myasthenia gravis
• Endocrine myopathies
• Metabolic myopathies
• BMC Pediatrics
• Neuromuscular electrical stimulation
• Physical therapy plays
• Botulinum toxin A
• Cerebral palsy
• Train of four
• Sugammadex reverses
• Neuromuscular diseases
• Modified gamma cyclodextrin
• Motor neurone disorders
• Respiratory outcome
• Diaphragmatic activity
• Non depolarizing muscle relaxants
• Arterial hypotension
• Obstructive sleep apnea
• Postoperative pulmonary complications
• Neuromuscular blocking drugs
• Neuromuscular block
• Pharmacologic reversal
• Enhanced recovery after surgery
• Pyridostigmine bromide
• Sugammadex reverses neuromuscular block
• Sugammadex appears
• Single blinded randomized clinical trial
• Plasma dexamethasone
• Residual blockade
• Operating room
• Versus neostigmine
• Amyotrophic lateral sclerosis
• Immunomodulating treatment
• Other motor neuron disorders
• Spinal muscular atrophies
• Toxic neuropathies
• Neuropathies associated
• Congenital myopathies
• Mitochondrial disorders
• BMC Musculoskeletal Disorders
• Ankle sprains
• Neuromuscular training
• Musculoskeletal system
• General practitioner
• Knee osteoarthritis
• Total knee replacement
• Randomized controlled trial
• BMC Pulmonary Medicine
• Carbon dioxide
• High concentration oxygen therapy
• Physiological response
• Running biomechanics
• Load carriage
• Randomized clinical trial
• Resistance training
• Vertebral body
• Idiopathic scoliosis
• Neuromuscular scoliosis
• Aberrant asymmetrical vertebral growth
• Economic impact
• Surgical procedures
• Reversal agents
• Spanish health care setting