COURSE TASK 6 - Degenerative Table Summary
COURSE TASK 6 - Degenerative Table Summary
COURSE TASK 6 - Degenerative Table Summary
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