COURSE TASK 6 - Degenerative Table Summary

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plasmapheresis AUTOIMMUNE DISEASES thymectomy

PD HD MS ALS MG GBS
progressive disorder with chronic, progressive progressive, w/ loss of motor neurons in disturbance in the symmetrical, bilateral,
degeneration of the nerve hereditary dse w/ demyelinating dse of the anterior horn of the transmission of impuled peripheral (PNS)
cells in the basal ganglia progressive the CNS spinal cord & motor nuclei from nerve to mucle cells polyneuritis char. by
 involuntary  of the lower brainstem @ the neuromuscular ascending paralysis
resulting in generalized choreiform movt & results in impaired junction= PNS
disorder on muscular fx dementia transmission of nerve 
impulses causing extensive muscle
weakness
in dopamine GABA & Ach demyelination motor neurons of the voluntary muscles are demyelination
anterior horn of the spinal affected, esp those
cord and motor nuclei of innervated by the cranial
lower brainstem dies & nerves
men>women men=women women>men men>women women>men men=women
AGE older population: 50 y.o. onset 35-45 y.o. 20-40 y.o. onset 50-60 y.o. W: 15-35 y.o. occurs at any age
some @ 30 y.o. 10% are children M: 40 y.o.
CAUSE UKNOWN researches: may also be a slow- also a theory: w/ antecedent
sometimes disorder is glutamine (bldg block growing virus overexcitation of nerve viralinfection
postencephalitic, toxic, of CHON abN collect cells by glutamate
arteriosclerotic, traumatic, in the cell nuclei 
or drug induced causing cell death Cell injury
=reason CHON
destroys only certain
brain cells is
UNKNOWN
DXTIC TESTS X X CSF studies X Tensilon test CSF studies: ↑CHON
EEG EMG EMG: slow nerve
CTscan/ MRI Blood test conduction
-w/ anti-acetylcholine
receptor antibodies
S/SXS 3 cardinal signs: tremors, progressive mental 1st sx: weakness of arms, trunk & 1st noticeable sx: 1st sx: clumsiness
rigidity, bradykinesia status changes visual disturbance legs weakness of eye ascending, symmetrical
Others: masklike face,   dysarthia, dysphagia, muscles/ ptosis motor weakness in > 1
stooped posture, propulsive dementia , blurred vision spasticity limb
gait choreiform movts, fits scotomas dysphagia 
of anger, suicidal diplopia slurred speech cranial nerve
depression  involvement: dysphagia
touch,pain & temp & 
posn sensations paralysis ascnt to the
 resp muscles
impaired motor fx 
impaired cerebellar fx absent DTRs
DEATH occurs 10-20 yrs 3 yrs after onset of dse may take only a few
after inset of dse hours to reach the most
severe sxs

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