Neuropathy – Damage to Peripheral Nerves in Diseases and Injuries of the Musculoskeletal System

2017 ◽  
Vol 19 (6) ◽  
pp. 569-576
Author(s):  
Wiesław Tomaszewski ◽  
Katarzyna Malinowska
Keyword(s):  
Nervous System ◽  
Musculoskeletal System ◽  
Social Problem ◽  
Peripheral Nerves ◽  
Musculoskeletal Diseases ◽  
Point Of View ◽  
Medical Procedures ◽  
Peripheral Neuropathies ◽  
Imaging Diagnostics ◽  
Final Effect

The musculoskeletal diseases and injuries affect not only the musculoskeletal system itself, but also the closely related structures, such as blood vessels and nerves (both within the central and the peripheral nervous system). If these relationships are neglected or the directed neuroprotective and neuro-regeneration therapy is delayed, the final effect of the treatment is compromised. The aim if this paper is describing the important medical and social problem of peripheral neuropathies from the point of view of epidemiology, etiopathogenesis, imaging diagnostics and complex medical procedures using modern approaches and techniques, based on the available literature.

ULTRASONIC STUDY IN DIAGNOSTICS OF PERIPHERAL NEUROPATHIES (CASE FROM PRACTICE)

2021 ◽  
pp. 144-146
Author(s):  
Hamanovich A.I. ◽  
◽  
Baida A.G. ◽  
Koyalo L.G. ◽  
Levantsevich V.V. ◽  
...  
Keyword(s):  
Nervous System ◽  
Gold Standard ◽  
Peripheral Nerves ◽  
Peroneal Nerve ◽  
Clinical Case ◽  
Clinical Symptoms ◽  
Nerve Trunk ◽  
Peripheral Neuropathies ◽  
Ultrasound Scanning ◽  
Electrophysiological Methods

Electrophysiological methods, such as electromyography and neuromyography, are traditionally recognized as the "gold standard" for detecting pathology of the peripheral nervous system. It should be noted, however, that the information obtained during the above examinations does not give an idea of the state of the surrounding tissues, does not indicate the nature and cause of damage to the nerve trunk, and does not always accurately reflect the localization of changes. At the same time, it is this information that helps to determine the tactics of conservative or surgical treatment of the patient. Ultrasound scanning is quite successfully used in the diagnosis of damage and diseases of the peripheral nerves. The article presents a clinical case of a diagnostic search for a causative disease in a patient with clinical symptoms of neuropathy of the peroneal nerve.

Musculoskeletal System

2019 ◽  
pp. 266-299 ◽  
Author(s):  
Martin Häusler ◽  
Nicole Bender ◽  
Lafi Aldakak ◽  
Francesco M. Galassi ◽  
Patrick Eppenberger ◽  
...  
Keyword(s):  
Musculoskeletal System ◽  
Musculoskeletal Diseases ◽  
Life Stage ◽  
Point Of View ◽  
Modern World ◽  
Treatment And Prevention ◽  
System P ◽  
Flat Feet ◽  
Tunnel Syndrome ◽  
The Life Course

This chapter on the musculoskeletal system aims to give an overview of the evolutionary implications for health and diseases of this body system. Using specific examples, the chapter shows how musculoskeletal diseases develop from an evolutionary point of view, with a specific emphasis on mismatches between the evolved human body and the modern environment, as well as on consequences of human bipedal gait. The chapter discusses the evolutionary aetiology of common musculoskeletal disorders as a consequence of mismatch to the modern world, such as carpal tunnel syndrome, flat feet, osteoporosis, and impacted third molars. As a consequence of the passage to bipedalism, the evolutionary background of low back pain, and knee and hip arthritis is examined. The chapter concludes with a discussion of implications for treatment and prevention of musculoskeletal diseases, focusing on the life course approach to health. In fact, every life stage shows specific needs and asks for specific interventions in order to optimally maintain musculoskeletal health up to old age.

Meissner Corpuscles in Skin Biopsies of Patients with Presenile Dementia: A Quantitative Study

1969 ◽  
Vol 115 (520) ◽  
pp. 347-349 ◽  
Author(s):  
Richard Hunter ◽  
Alan Ridley ◽  
Andrew Malleson
Keyword(s):  
Nervous System ◽  
Peripheral Nerves ◽  
Clinical Findings ◽  
Motor Neurone ◽  
Point Of View ◽  
Sensory Testing ◽  
Sensory Neurone ◽  
Presenile Dementia ◽  
Skin Biopsies ◽  
The Brain

Neuropathological study of the group of presenile dementias, whether apparendy primarily a degeneration of cortical neurones or secondary to vascular, inflammatory or other disease, has for obvious reasons centered on the brain. However, it is possible that the degenerative process may in certain types also affect the peripheral nervous system. If this were so it would be valuable to recognize it not only from the pathological point of view but also, since peripheral nerves are more easily investigated during life, for differential diagnosis which is often difficult and sometimes impossible on clinical findings alone. While involvement of the lower motor neurone is unlikely to be present without causing physical signs impairment of sensation due to involvement of the primary sensory neurone may be overlooked, more especially because sensory testing is often not possible in demented patients.

Experimental Models of Painful Peripheral Neuropathies

Physiology ◽  
1990 ◽  
Vol 5 (3) ◽  
pp. 128-133
Author(s):  
GJ Bennett
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Animal Models ◽  
Peripheral Nerves ◽  
Experimental Models ◽  
Peripheral Neuropathies

Several animal models are being used in the search for causes of painful conditions that occur when peripheral nerves are damaged by trauma or disease. Physiological, anatomical, and neurochemical abnormalities of possible pathogenetic significance have already been identified in both the peripheral and central nervous system.

Quick Reference: Chapter 3: The Musculoskeletal System and Chapter 4: The Nervous System

2000 ◽  
Vol 5 (3) ◽  
pp. 4-4
Keyword(s):  
Nervous System ◽  
Lower Extremity ◽  
Musculoskeletal System ◽  
Multistep Method ◽  
Manual Muscle Testing ◽  
Motor Deficits ◽  
Lower Extremity Weakness ◽  
Residual Symptoms ◽  
Muscle Testing ◽  
Almost All

Abstract Lesions of the peripheral nervous system (PNS), whether due to injury or illness, commonly result in residual symptoms and signs and, hence, permanent impairment. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, divides PNS deficits into sensory and motor and includes pain in the former. This article, which regards rating sensory and motor deficits of the lower extremities, is continued from the March/April 2000 issue of The Guides Newsletter. Procedures for rating extremity neural deficits are described in Chapter 3, The Musculoskeletal System, section 3.1k for the upper extremity and sections 3.2k and 3.2l for the lower limb. Sensory deficits and dysesthesia are both disorders of sensation, but the former can be interpreted to mean diminished or absent sensation (hypesthesia or anesthesia) Dysesthesia implies abnormal sensation in the absence of a stimulus or unpleasant sensation elicited by normal touch. Sections 3.2k and 3.2d indicate that almost all partial motor loss in the lower extremity can be rated using Table 39. In addition, Section 4.4b and Table 21 indicate the multistep method used for spinal and some additional nerves and be used alternatively to rate lower extremity weakness in general. Partial motor loss in the lower extremity is rated by manual muscle testing, which is described in the AMA Guides in Section 3.2d.

New Advanced Strategies for the Treatment of Lysosomal Diseases Affecting the Central Nervous System

2019 ◽  
Vol 25 (17) ◽  
pp. 1933-1950 ◽  
Author(s):  
Maria R. Gigliobianco ◽  
Piera Di Martino ◽  
Siyuan Deng ◽  
Cristina Casadidio ◽  
Roberta Censi
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Polymeric Nanoparticles ◽  
Genetic Diseases ◽  
Point Of View ◽  
Lysosomal Storage ◽  
Enzyme Replacement ◽  
Lysosomal Diseases ◽  
The Central Nervous System ◽  
Enzyme Delivery

Lysosomal Storage Disorders (LSDs), also known as lysosomal diseases (LDs) are a group of serious genetic diseases characterized by not only the accumulation of non-catabolized compounds in the lysosomes due to the deficiency of specific enzymes which usually eliminate these compounds, but also by trafficking, calcium changes and acidification. LDs mainly affect the central nervous system (CNS), which is difficult to reach for drugs and biological molecules due to the presence of the blood-brain barrier (BBB). While some therapies have proven highly effective in treating peripheral disorders in LD patients, they fail to overcome the BBB. Researchers have developed many strategies to circumvent this problem, for example, by creating carriers for enzyme delivery, which improve the enzyme’s half-life and the overexpression of receptors and transporters in the luminal or abluminal membranes of the BBB. This review aims to successfully examine the strategies developed during the last decade for the treatment of LDs, which mainly affect the CNS. Among the LD treatments, enzyme-replacement therapy (ERT) and gene therapy have proven effective, while nanoparticle, fusion protein, and small molecule-based therapies seem to offer considerable promise to treat the CNS pathology. This work also analyzed the challenges of the study to design new drug delivery systems for the effective treatment of LDs. Polymeric nanoparticles and liposomes are explored from their technological point of view and for the most relevant preclinical studies showing that they are excellent choices to protect active molecules and transport them through the BBB to target specific brain substrates for the treatment of LDs.

scholarly journals STUDIES ON THE NERVOUS SYSTEM IN DEFICIENCY DISEASES

1934 ◽  
Vol 59 (1) ◽  
pp. 21-34 ◽  
Author(s):  
H. M. Zimmerman ◽  
Ethel Burack
Keyword(s):  
Nervous System ◽  
Peripheral Nerves ◽  
Progressive Disease ◽  
Water Soluble ◽  
Persistent Vomiting ◽  
Fiber Tracts ◽  
Heat Stable ◽  
Loss Of Weight ◽  
The Central Nervous System ◽  
Deficiency Diseases

Adult dogs maintained on an artificial, balanced ration adequate in all dietary essentials as far as is known except water-soluble, heat-stable vitamin B2 (G) developed, after a sufficient time, a slowly progressive disease characterized by loss of weight, persistent vomiting and diarrhea, and marked muscular weakness, which ended fatally in from 200 to over 300 days. The clinical features of this condition, as pointed out in the discussion, are quite different from those characterizing the canine disease known as black tongue. The anatomic changes in this condition consist of marked demyelination of the peripheral nerves, including the vagus; degeneration of the medullary sheaths and replacement by gliosis of the posterior columns of the spinal cord, particularly the fasciculi graciles; degeneration of the medullary sheaths of the posterior and less often of the anterior nerve roots of the cord; occasionally slight degenerative changes in most of the other fiber tracts of the cord. Attention is called to the fact that degenerative lesions in the central nervous system similar or identical with these have frequently been described in pellagra in man.

The enteric nervous system of echinoderms: unexpected complexity revealed by neurochemical analysis

2001 ◽  
Vol 204 (5) ◽  
pp. 865-873
Author(s):  
J.E. Garcia-Arraras ◽  
M. Rojas-Soto ◽  
L.B. Jimenez ◽  
L. Diaz-Miranda
Keyword(s):  
Nervous System ◽  
Enteric Nervous System ◽  
Digestive Tract ◽  
Radial Nerve ◽  
Digestive System ◽  
Nerve Ring ◽  
Point Of View ◽  
Distinct Component ◽  
Future Studies ◽  
Neurochemical Analysis

Echinoderms are one of the most important groups of metazoans from the point of view of evolution, ecology and abundance. Nevertheless, their nervous system has been little studied. Particularly unexplored have been the components of the nervous system that lie outside the ectoneural and hyponeural divisions of the main nerve ring and radial nerve cords. We have gathered information on the nervous components of the digestive tract of echinoderms and demonstrate an unexpected level of complexity in terms of neurons, nerve plexi, their location and neurochemistry. The nervous elements within the digestive system consist of a distinct component of the echinoderm nervous system, termed the enteric nervous system. However, the association between the enteric nervous system and the ectoneural and hyponeural components of the nervous system is not well established. Our findings also emphasize the importance of the large lacunae in the neurobiology of echinoderms, a feature that should be addressed in future studies.

THE FAMILY HISTORY OF SPINA BIFIDA CYSTICA

PEDIATRICS ◽  
1965 ◽  
Vol 35 (4) ◽  
pp. 589-595
Author(s):  
John Lorber
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Spina Bifida ◽  
Index Case ◽  
Progressive Increase ◽  
Point Of View ◽  
The Family ◽  
History Of ◽  
The Central Nervous System ◽  
Spina Bifida Cystica

1. The family histories of 722 infants who were born with spina bifida cystica were studied. 2. The index cases were referred for surgical treatment and were not selected in any way from the genetic point of view. 3. Intensive inquiries were made to obtain a complete family pedigree, including a prospective follow-up of siblings born after the index case. 4. Of 1,256 siblings 85 or 6.8% had gross malformation of the central nervous system: spina bifida cystica in 54, anencephaly in 22, and uncomplicated hydrocephalus in 9. 5. Of 306 children born after the index case 25 (8%) or 1 in 12 were affected. 6. There was a progressive increase in multiple cases in the family with increasing family size. In sibships of five or more, multiple cases occurred in 24.1%. 7. In 118 families cases of gross malformation of the central nervous system were known to have occurred among members of the family other than siblings. Cases occurred in three generations. 8. It is possible that spina bifida cystica might be a recessively inherited condition.

Sign in / Sign up

Export Citation Format

Share Document