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[Neuromyalgic syndrome in children's infections]
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|June 13, 2003
Summary
Neuromyalgic syndrome (NMS) is a newly described condition in children following viral infections, causing temporary nerve and muscle dysfunction. This research differentiates NMS from polyneuropathy, aiding in accurate diagnosis.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Context:
- Neuromyalgic syndrome (NMS) is clinically and electroneuromyographically (ENMG) described for the first time in 50 children aged 2-13.
- NMS presents post-infection with acute respiratory viral infections (ARVI), intestinal, and parotitoviral infections.
- It involves transient peripheral nervous system and muscle dysfunction lasting 3-6 days.
Purpose:
- To clinically and electroneuromyographically (ENMG) describe Neuromyalgic Syndrome (NMS) in children.
- To differentiate NMS from other neurological conditions like polyneuropathy, viral meningitis, and ARVI.
- To explore potential mechanisms of NMS development, including inflammatory muscular reactions and nerve conductivity disorders.
Summary:
- NMS is characterized by muscle pain and peripheral nerve pain, predominantly affecting lower limb muscles, with rare generalized forms.
- Electroneuromyography (ENMG) reveals three types of nerve conductivity and excitability changes without conductive blocks, distinguishing it from polyneuropathy.
- Transient, non-specific inflammatory muscular reactions and functional nerve disorders are proposed mechanisms.
Impact:
- Establishes NMS as a distinct clinical entity in children following viral infections.
- Provides diagnostic criteria to differentiate NMS from polyneuropathy and other post-infectious neurological complications.
- Highlights the importance of ENMG in diagnosing pediatric neurological disorders.
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