多发性硬化和相关疾病中的胃肠道功能障碍
1Neurology Clinic Tsudanuma & Dowakai Chiba Hospital Funabashi, Japan.
Seminars in neurology
|September 13, 2023
概括
神经系统疾病会导致胃肠道 (GI) 功能障碍,影响周围静止和食欲等功能. 胃肠科医生和神经科医生之间的早期合作对于诊断和管理这些神经相关的胃肠道问题至关重要.
科学领域:
- 神经胃肠病学 神经胃肠病学
- 神经学 神经学
- 胃肠病学 胃肠病学
背景情况:
- 神经系统疾病经常伴有胃肠道 (GI) 功能障碍.
- 大脑和脊髓病变可能导致各种胃肠道问题,包括改变的周立体,腹部应变,食欲变化和吐.
- 特定的神经疾病,如多发性硬化症,神经炎光学谱系障碍和髓寡细胞糖蛋白相关障碍与神经性胃肠道功能障碍有关.
研究的目的:
- 审查与神经系统疾病相关的胃肠道功能障碍.
- 要突出特定的大脑/脊髓病变与肠道问题的联系.
- 强调跨学科治疗神经性胃肠道功能障碍的重要性.
主要方法:
- 对神经系统疾病和相关的胃肠道功能障碍研究的文献综述.
- 分析特定的神经病变和胃肠道症状之间的关系.
- 讨论诸如多发性硬化症,神经炎光学谱障碍和髓寡细胞糖蛋白相关障碍等疾病.
主要成果:
- 诸如基底,庞丁排便中心,副核,区域前膜和下丘脑等区域的病变可以导致特定的胃肠道功能障碍.
- 影响长段或中间侧核的脊髓损伤也会损害周围静止.
- 胃肠道功能障碍是各种神经疾病中显著的,经常出现的症状.
结论:
- 神经性胃肠道功能障碍是一个重要的临床挑战,需要多学科的方法.
- 胃肠病学家和神经病学家及时识别和管理对于改善患者的治疗结果至关重要.
- 了解胃肠道症状的神经解剖学的基础,有助于诊断和治疗策略.
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