在初级侧面硬化症中出现自主性损伤
Hebatallah R Rashed1,2, Nathan P Staff1, Margherita Milone1
1Department of Neurology, Mayo Clinic, Rochester, MN, USA.
概括
自主功能障碍在初级侧面硬化症 (PLS) 中很常见,通常是轻微的. 这种多系统性疾病会影响自主神经系统,类似于肌缩侧面硬化症 (ALS).
科学领域:
- 神经学 神经学
- 自主神经科学 自主神经科学
背景情况:
- 在运动神经元疾病中报告了自主神经系统 (ANS) 的参与.
- 以前的研究表明,在上部运动神经元占主导地位的综合征中,自主功能障碍更严重.
研究的目的:
- 描述原发性侧面硬化症 (PLS) 患者自主功能障碍的程度和性质.
主要方法:
- 在34名PLS患者的神经评估,热调节性汗水测试和自主反射屏幕的回顾性分析.
- 排除患有其他原因导致自主功能衰竭或人工物损害测试结果的患者.
主要成果:
- 在34名患者中,有17人报告自主症状,最常见的是静态头,膀,肠道和勃起功能障碍.
- 在20/33名患者 (60.6%) 中,自主反射查异常,运动异常最频繁 (90%).
- 综合自主严重性评分表明,在60.6%的患者中,轻度至中度损伤.
结论:
- 主要侧面硬化症 (PLS) 经常表现出自主功能障碍,通常是轻微的.
- 自主功能障碍的模式表明了前质/质参与.
- 像肌缩性侧面硬化症 (ALS) 一样,PLS是一种影响自主神经系统的多系统性疾病.
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