Multipl sklerozda sempatik deri cevabı
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Dosyalar
Tarih
1994
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Medivan sinirin bilekten uyarımı He her iki el ve ayaktan elde edilen sempatik deri cevabı (SDC) 20 normal kontrol olgusunda ve kesin multipl sklerozlu (MS) 10 olguda kaydedildi. NormaI olguların tümünde her uyarıda ve 4 ekstremitede SDC 'ler net olarak kaydedildi. MS ’li 6 olguda (II ekstremitede) patolojik cevab alındı. Hastalardaki kortikospinal traktus, spinotalamik traktus. beyin sapı tutulumu ve nörojenik mesane bulguları ile SIK' patolojisi arasında anlamlı bir ilişki olmadığı görüldü. SEP anormalliğiyle SDC patolojisi arasında anlamlı bir ilişki (p 0.03) olduğu saptandı. Hastaların EDSS değerleri ile SDC patolojisinin korelasyon gösterdiği görüldü. Bulgular SDC 'nin MS de otonomik tutulumu göstermekte informatif bir değeri olduğunu telkin etti.
In 10 patients with definite multiple sclerosis (MS) and 20 normal control subjects, sympathetic skin res/tonse (SSR) were recorded from both the palms and soles by electrical stimuli to the median ner>e at the wrist. The SSR was present in all limbs of all normal subjects. Pathological responses in I or more limbs were recorded in 6 patients (II extremities) with MS. A’a significant relationship between pathological of SSRs and spinothalamic tract dejicit. corticospinal tract deficit, brainstem deficit and neurogenic bladder deficit was obsen’ed. The abnormality of SSRs correlated significantly with the abnormality of somatosensory evoked potentials (p 0.03). Good correlation betweeen the number of pathological SSRs and the severity of the disability (r 0. 82. p 0.003) caused by MS was obsen’ed. These results suggest that SSR is a valuable test for in I he assessment of autonomic involvement in MS.
In 10 patients with definite multiple sclerosis (MS) and 20 normal control subjects, sympathetic skin res/tonse (SSR) were recorded from both the palms and soles by electrical stimuli to the median ner>e at the wrist. The SSR was present in all limbs of all normal subjects. Pathological responses in I or more limbs were recorded in 6 patients (II extremities) with MS. A’a significant relationship between pathological of SSRs and spinothalamic tract dejicit. corticospinal tract deficit, brainstem deficit and neurogenic bladder deficit was obsen’ed. The abnormality of SSRs correlated significantly with the abnormality of somatosensory evoked potentials (p 0.03). Good correlation betweeen the number of pathological SSRs and the severity of the disability (r 0. 82. p 0.003) caused by MS was obsen’ed. These results suggest that SSR is a valuable test for in I he assessment of autonomic involvement in MS.
Açıklama
[Journal of Turgut Özal Medical Center I (4):268- 2~I. I994]
Anahtar Kelimeler
Multiple sclerosis, Sympathetic skin response, Autonomic involvement, Multipl skleroz, Sempatik deri cevabı, Otonomik tutulum
Kaynak
Turgut Özal Tıp Merkezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
1
Sayı
4
Künye
Özcan, C.,Bölük, A., Şenol, M.,Yılmaz, H.,(1994).Multipl sklerozda sempatik deri cevabı.Turgut Özal Tıp Merkezi Dergisi, 1 (4).268-271 ss.
