面部神经神经图在重症监护室获得的弱点
Maximilian Lochter1,2, Martin Sommer3, Onnen Moerer1
1Department of Anesthesiology, University Medical Center Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Neurological research and practice
|September 20, 2023
概括
在重症监护室获得的软弱 (ICU-AW) 节省了面部神经,与四肢神经不同. 这项研究研究了重症患者的神经传导,发现由于神经长度,面部肌肉受到影响较小.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 电力生理学 电力生理学
背景情况:
- 在重症监护室获得的软弱 (ICU-AW) 会导致严重的肢体和干部肌肉麻.
- 在ICU-AW患者中,面部肌肉通常看起来影响较小.
研究的目的:
- 为了调查面部神经是否在ICU-AW中被部分保存.
- 为了比较重症患者的四肢和面部神经的神经导电.
主要方法:
- 在重症患者中进行了外周和骨神经传导研究.
- 评估了运动和感觉神经传导速度,肌肉动作潜力和眼球反射.
- 在入院时评估神经功能,ICU第7天和ICU第14天.
主要成果:
- 周周神经化合物肌肉动作潜力 (CMAPs) 显著减少了ICU第7天和第14天.
- 没有显著降低CMAP幅度的节或面部神经.
- Orbicularis oculi反射的可复制性下降,但延迟时间保持稳定.
结论:
- 与脚肌相比,面部和手部肌肉显示CMAPs的相对保存.
- 这支持在ICU-AW中面部肌肉参与程度较小的临床观察.
- 神经长度和营养因素可能解释了较短的面部神经的相对节省.
相关概念视频
Myasthenia Gravis: Diagnostic Tests
960
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
960
Disorders of the Skeletal Muscle
984
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
984
Cranial Nerves: Types Part I
2.7K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
2.7K
Local Anesthetics: Differential Sensitivity of Nerve Fibers
857
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
857
Chemical Synapses
8.9K
Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
8.9K


