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Guillain–Barré Syndrome
Guillain–Barré syndrome (GBS) is a rapid-onset muscle weakness caused by the immune system damaging the peripheral nervous system. Typically, both sides of the body are involved, and the initial symptoms are changes in sensation or pain often in the back along with muscle weakness, beginning in the feet and hands, often spreading to the arms and upper body. The symptoms may develop over hours to a few weeks. During the acute phase, the disorder can be life-threatening, with about 15% of people developing weakness of the breathing muscles and, therefore, requiring mechanical ventilation. Some are affected by changes in the function of the autonomic nervous system, which can lead to dangerous abnormalities in heart rate and blood pressure. Although the cause is unknown, the underlying mechanism involves an autoimmune disorder in which the body's immune system mistakenly attacks the peripheral nerves and damages their myelin insulation. Sometimes this immune dysfunction i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Spirometry
Spirometry (meaning ''the measuring of breath'') is the most common of the pulmonary function tests (PFTs). It measures lung function, specifically the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled. Spirometry is helpful in assessing breathing patterns that identify conditions such as asthma, pulmonary fibrosis, cystic fibrosis, and COPD. It is also helpful as part of a system of health surveillance, in which breathing patterns are measured over time. Spirometry generates pneumotachographs, which are charts that plot the volume and flow of air coming in and out of the lungs from one inhalation and one exhalation. Indications Spirometry is indicated for the following reasons: * to diagnose or manage asthma * to detect respiratory disease in patients presenting with symptoms of breathlessness, and to distinguish respiratory from cardiac disease as the cause * to measure bronchial responsiveness in patients suspected of having asthma * to diagn ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Myelin
Myelin is a lipid-rich material that surrounds nerve cell axons (the nervous system's "wires") to insulate them and increase the rate at which electrical impulses (called action potentials) are passed along the axon. The myelinated axon can be likened to an electrical wire (the axon) with insulating material (myelin) around it. However, unlike the plastic covering on an electrical wire, myelin does not form a single long sheath over the entire length of the axon. Rather, myelin sheaths the nerve in segments: in general, each axon is encased with multiple long myelinated sections with short gaps in between called nodes of Ranvier. Myelin is formed in the central nervous system (CNS; brain, spinal cord and optic nerve) by glial cells called oligodendrocytes and in the peripheral nervous system (PNS) by glial cells called Schwann cells. In the CNS, axons carry electrical signals from one nerve cell body to another. In the PNS, axons carry signals to muscles and glands or from sens ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Paraplegia
Paraplegia, or paraparesis, is an impairment in motor or sensory function of the lower extremities. The word comes from Ionic Greek () "half-stricken". It is usually caused by spinal cord injury or a congenital condition that affects the neural (brain) elements of the spinal canal. The area of the spinal canal that is affected in paraplegia is either the thoracic, lumbar, or sacral regions. If four limbs are affected by paralysis, tetraplegia or quadriplegia is the correct term. If only one limb is affected, the correct term is monoplegia. Spastic paraplegia is a form of paraplegia defined by spasticity of the affected muscles, rather than flaccid paralysis. The American Spinal Injury Association classifies spinal cord injury severity in the following manner. ASIA A is the complete loss of sensory function and motor skills below the injury. ASIA B is having some sensory function below the injury, but no motor function. In ASIA C, there is some motor function below the l ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ophthalmoparesis
Ophthalmoparesis refers to weakness (-paresis) or paralysis (-plegia) of one or more extraocular muscles which are responsible for eye movements. It is a physical finding in certain neurologic, ophthalmologic, and endocrine disease. Internal ophthalmoplegia means involvement limited to the pupillary sphincter and ciliary muscle. External ophthalmoplegia refers to involvement of only the extraocular muscles. Complete ophthalmoplegia indicates involvement of both. Causes Ophthalmoparesis can result from disorders of various parts of the eye and nervous system: * Infection around the eye. Ophthalmoplegia is an important finding in orbital cellulitis. * The orbit of the eye, including mechanical restrictions of eye movement, as in Graves' disease. * The muscle, as in progressive external ophthalmoplegia or Kearns–Sayre syndrome. * The neuromuscular junction, as in myasthenia gravis. * The relevant cranial nerves (specifically the oculomotor, trochlear, and abducens), as i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Dysphagia
Dysphagia is difficulty in swallowing. Although classified under "symptoms and signs" in ICD-10, in some contexts it is classified as a condition in its own right. It may be a sensation that suggests difficulty in the passage of solids or liquids from the mouth to the stomach, a lack of pharyngeal sensation or various other inadequacies of the swallowing mechanism. Dysphagia is distinguished from other symptoms including odynophagia, which is defined as painful swallowing, and globus, which is the sensation of a lump in the throat. A person can have dysphagia without odynophagia (dysfunction without pain), odynophagia without dysphagia (pain without dysfunction) or both together. A psychogenic dysphagia is known as phagophobia. Classification Dysphagia is classified into the following major types: # Oropharyngeal dysphagia # Esophageal and obstructive dysphagia # Neuromuscular symptom complexes # Functional dysphagia is defined in some patients as having no organic ca ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Facial Weakness
Facial weakness is a medical sign associated with a variety of medical conditions. Some specific conditions associated with facial weakness include: * Stroke * Neurofibromatosis * Bell's palsy * Ramsay Hunt syndrome * Spontaneous cerebrospinal fluid leak * Myasthenia gravis See also * Acute facial nerve paralysis * Facioscapulohumeral muscular dystrophy Facioscapulohumeral muscular dystrophy (FSHD) is a type of muscular dystrophy, a group of heritable diseases that cause degeneration of muscle and progressive weakness. Per the name, FSHD tends to sequentially weaken the muscles of the face, ... References External links Differential diagnosisDiagram of appearance in stroke Symptoms and signs: Nervous system {{med-sign-stub ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cranial Nerves
Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and from regions of the head and neck, including the special senses of vision, taste, smell, and hearing. The cranial nerves emerge from the central nervous system above the level of the first vertebra of the vertebral column. Each cranial nerve is paired and is present on both sides. There are conventionally twelve pairs of cranial nerves, which are described with Roman numerals I–XII. Some considered there to be thirteen pairs of cranial nerves, including cranial nerve zero. The numbering of the cranial nerves is based on the order in which they emerge from the brain and brainstem, from front to back. The terminal nerves (0), olfactory nerves (I) and optic nerves (II) emerge from the cerebrum, and the remaining ten pairs arise from t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
André Strohl
André Strohl (20 March 1887 – 10 March 1977) was a French physiologist who was a native of Poitiers. He is remembered for his role in the diagnosis of Guillain–Barré syndrome (sometimes called Guillain–Barré–Strohl syndrome), a form of areflexic paralysis which exhibits normal cell count but with an abnormal increase in spinal fluid protein. The syndrome is named after two French neurologists; Georges Guillain and Jean Alexandre Barré. In 1916, during World War I, Strohl was serving in the Neurological Centre of the French Sixth Army with Guillain and Barré. The three doctors noticed that two soldiers, who were suffering from muscular weakening and pain along with paresthesias,Guillain–Barré–Strohl syndrome at Who Named It had an unexpected amount of spinal fluid protein production. [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Jean Alexandre Barré
Jean Alexandre Barré (25 May 1880, Nantes – 26 April 1967, Strasbourg) was a French neurologist who in 1916 worked on the identification of Guillain-Barré-Strohl syndrome, as well as Barré–Liéou syndrome. Biography First studies He studied medicine in Nantes, afterwards serving his internship in Paris, where he was influenced by Joseph Babinski (1857–1932). In 1912 he obtained his medical doctorate with a thesis on osteoarthropathy associated with tabes dorsalis. Guillain-Barré-Strohl syndrome ''See also André Strohl.'' During World War I, he worked in a neurological unit of the 6th army, directed by Georges Guillain (1876-1961), with whom he began a longtime collaboration. In 1919 he was appointed professor of neurology in Strasbourg. He was especially interested in vestibular function and disorders associated with the vestibular system. He was founder of the journal ''Revue d’oto-neuro-ophtalmologie''. Barré test Barré is also credited with the "Ba ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Georges Guillain
Georges Charles Guillain () (3 March 1876 – 29 June 1961) was a French neurologist born in Rouen. He studied medicine in Rouen and Paris, where he learned clinical education at several hospitals. He developed an interest in neurology, and his first important scientific work involved lesions of the plexus brachialis. He earned his medical doctorate at Paris in 1898. He later became ''chef de clinique'' for nervous disease, and in 1910 acquired his agrégation. After the end of World War I, he worked at Charité Hospital in Paris, followed by a professorship of neurology at the Salpêtrière (1923). Guillain was a prolific writer. In 1920 with his friend Jean Barré (1880-1967), he published a major work titled ''Travaux neurologiques de guerre'', a book that described the two doctors' clinical experiences during wartime. He was a member of French, American and Japanese academies of science, and in 1949 was appointed commander of the Légion d'honneur. He died in Paris at ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Neurologist
Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal cord and the peripheral nerves. Neurological practice relies heavily on the field of neuroscience, the scientific study of the nervous system. A neurologist is a physician specializing in neurology and trained to investigate, diagnose and treat neurological disorders. Neurologists treat a myriad of neurologic conditions, including stroke, seizures, movement disorders such as Parkinson's disease, autoimmune neurologic disorders such as multiple sclerosis, headache disorders like migraine and dementias such as Alzheimer's disease. Neurologists may also be involved in clinical research, clinical trials, and basic or translational research. While neurology is a nonsurgical specialty, its corresponding surgical specialty is neurosurgery. Hist ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Polyneuropathy
Polyneuropathy ( poly- + neuro- + -pathy) is damage or disease affecting peripheral nerves (peripheral neuropathy) in roughly the same areas on both sides of the body, featuring weakness, numbness, and burning pain. It usually begins in the hands and feet and may progress to the arms and legs and sometimes to other parts of the body where it may affect the autonomic nervous system. It may be acute or chronic. A number of different disorders may cause polyneuropathy, including diabetes and some types of Guillain–Barré syndrome. Classification Polyneuropathies may be classified in different ways, such as by ''cause'', by ''presentation'', or by ''classes'' of polyneuropathy, in terms of which part of the nerve cell is affected mainly: the axon, the myelin sheath, or the cell body. * ''Distal axonopathy'', is the result of interrupted function of the peripheral nerves. It is the most common response of neurons to metabolic or toxic disturbances, and may be caused by metabolic ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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