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Varianty akutní polyradikuloneuritidy

Authors: Ehler, Edvard;

Varianty akutní polyradikuloneuritidy

Abstract

Akutní polyradikuloneuritida (Guillainův a Barrého syndrom – GBS) je multifokální autoimunitní forma neuropatie. Má jednak své klasické formy – myelinovou pochvu postihuje akutní zánětlivá demyelinizační polyradikuloneuritida (AIDP) a primárně axonální postižení charakterizuje čistě motorická forma AMAN a těžká smíšená motoricko-senzitivní forma AMSAN. Mezi varianty či fokální formy se řadí Miller-Fisherův syndrom s klinickou triádou oftalmoplegie, ataxie a areflexie a faryngo-cerviko-brachiální forma s poruchami polykání, slabostí šíjového a brachiálního svalstva. Kromě těchto dvou nejčastějších variant se vyskytují další varianty – Bickerstaffova kmenová encefalitida, paraparetická forma GBS (Guillainův a Barrého syndrom), kraniální neuropatie, akutní pandysautonomie, čistě senzitivní forma GBS. Jednotlivé varianty se vyznačují charakteristickou klinickou symptomatikou, průběhem, abnormitami neurofyziologického vyšetření, terapií.

Acute polyradiculoneuritis (Guillain-Barré syndrome – GBS) is a multifocal autoimmune form of neuropathy. This neuropathy has its classicalforms – acute inflammatory demyelinating polyradiculoneuritis (AIDP) affects myelin sheath and primary axonal form is characterizedby pure motor disorder AMAN or severe mixed sensory-motor form AMSAN. Among the variants or focal forms can be differentiatedMiller-Fisher syndrome with clinical trias – ophthalmoplegia, ataxia and areflexia – and pharyngo-cervico-brachial form with dysphagia,weakness of neck and brachial muscles. Besides these two most frequent variants there some other forms – Bickerstaff brainstemencephalitis, paraparetic form of GBS (Guillain-Barré syndrome), cranial neuropathies, acute pandysautonomia, pure sensory form ofGBS. The individual variants are charactrized by clinical symptoms, the course, by abnormal neurophysiological investigations, therapy.

Country
Czech Republic
Related Organizations
Keywords

imunologická léčba, electromyography, elektromyografie, autoimunitní zánět, akutní polyradikuloneuritida, immunological therapy, autoimmune inflammation, acute polyradiculoneuritis

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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