在老年人中二级中枢神经系统除线性疾病:叙述性综述
Christos Bakirtzis1, Maria Lima1, Sotiria Stavropoulou De Lorenzo1
1Second Department of Neurology, Aristotle University of Thessaloniki, GR-54124 Thessaloniki, Greece.
Healthcare (Basel, Switzerland)
|August 12, 2023
概括
老年人的二次脱髓性疾病往往源于各种潜在的疾病,需要进行彻底的诊断评估. 这篇评论有助于神经学家识别这些不同的原因并了解它们的机制.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 老年病的医生 老年病的医生
背景情况:
- 二次性脱髓化疾病涉及对其他条件的二次性髓膜损伤.
- 像多发性硬化症这样的初级脱髓化疾病在老年人中不太常见.
- 中枢神经系统 (CNS) 脱髓化的次要原因在老年人中很普遍,需要广泛的治疗.
研究的目的:
- 协助临床神经科医生诊断老年人中中枢神经系统二次脱髓化疾病.
- 总结导致二次脱髓化的常见临床条件及其表现.
- 介绍有关这些疾病病理生理机制的当前知识.
主要方法:
- 对老年人的二次脱髓化疾病现有文献的综述.
- 临床条件,表现和潜在机制的总结.
- 专注于传染病,营养,瘤和免疫相关的原因.
主要成果:
- 鉴定了与免疫系统变化相关的传染性,后传染性和疫苗接种后脱髓化.
- 突出透性障碍和营养缺陷导致庞丁/额外庞丁髓解和韦尼克脑病.
- 讨论了与恶性瘤相关的脱髓化,包括辐射诱导的,与免疫治疗相关的和副瘤综合征.
结论:
- 二次性脱髓化是老年人群的一个重大问题.
- 广泛的诊断方法对于识别中枢神经系统二次脱髓化的各种原因至关重要.
- 了解病理生理机制有助于临床管理和诊断.
更多相关视频
08:17Author Spotlight: Unveiling the Pathway Linking Obesity to Autoimmune Inflammation in Multiple Sclerosis
Published on: February 23, 2024
4.3K
09:38Determining Immune System Suppression versus CNS Protection for Pharmacological Interventions in Autoimmune Demyelination
Published on: September 12, 2016
12.3K
相关概念视频
Disorders of the Nervous Tissue
1.4K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
1.4K
Alzheimer's Disease: Overview
521
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
521
Alzheimer's Disease: Treatment
215
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
215
Dementia
139
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
139
Parkinson's Disease: Overview
598
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
598
Amyloid Fibrils
9.6K
Amyloid fibrils are aggregates of misfolded proteins. Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils.
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
Amyloid deposits were observed as early as 1639 in the liver and the spleen. In 1854, Rudolph Virchow performed iodine staining,...
9.6K
