pm mfvt1
    • Main page
      • About journal
      • Articles. Working with contents
      • Editor-in-chief
      • Editorial Council
      • Editorial Board


      • For authors
      • Standards for formatting information
      • Reviewing
      • Politics editorial board
      • Ethics of journal publications


      • For advertisers
      • Subscription
      • About the Publishing House
      • Contact us
  •  Reactivity of neural conduction in children with acute inflammatory demyelinating polyneuropathy

    Редактор | 2017, Original articles, Practical medicine 10 (17) Pediatrics | 1 декабря, 2017

    A.V. KLIMKIN1, V.B. VOITENKOV1, N.V. SKRIPCHENKO1,2

    1Pediatric Research and Clinical Center for Infectious Diseases, 9 Prof. Popov Str., Saint-Petersburg, Russian Federation, 197022

    2Saint-Petersburg State Pediatric Medical University, 2 Litovskaya Str., Saint-Petersburg, Russian Federation, 194100

    Klimkin A.V. ― Cand. Med. Sc., Junior Researcher of the Department of Functional Diagnostics, tel. (812) 234-38-23, e-mail: klinkinpark@mail.ru

     Development of neurophysiological criteria for prediction of motor functions recovery in patients after acute inflammatory demyelinating polyneuropathy (AIDP) is a priority for modern medicine. The influence of neural conduction reactivity on acute ischemia in children with AIDP was used to study the criteria for the disease outcome prediction. Electro-neuromyography with tourniquet test was implemented in 55 children in the control group and 46 children with AIDP in catamnesis (both aged 7-17 y.o.). In children in the acute period of AIDP, the values of neural conduction reactivity of the ulnar nerve after 10 minutes of ischemia ≤3.1% serve as an indication of the recovery period of walking ability (>1 month).

    Key words: acute inflammatory demyelinating polyneuropathy, children, electro-neuromyography.

    REFERENCES

    1. Skripchenko N.V., Komantsev V.N. Infektsionnye zabolevaniya perifericheskoy nervnoy sistemy u detey: ruk. dlya vrachey [Infectious diseases of the peripheral nervous system in children: hands. for doctors]. Moscow: Meditsina, 2006. 558, [1] p.: il.
    2. Piradov M.A., Suponeva N.A., Grishina D.A. et al. Quality of life and social adaptation of patients undergoing Guillain-Barre syndrome. Zhurn. nevrologii i psikhiatrii im. C.C. Korsakova, 2013, vol. 113, no. 8, pp. 61-67 (in Russ.).
    3. Chanson J.B., Andoni Echaniz-Laguna Early electrodiagnostic abnormalities in acute inflammatory demyelinating polyneuropathy: a retrospective study of 58 patients. Clin. neurophysiology, 2014, vol. 125, no. 9, pp. 1900-1905.
    4. Suponeva N.A., Mochalova E.G., Grishina D.A. et al. Features of the course of SGB in Russia: analysis of 186 cases. Nervno-myshech. bolezni, 2014, no. 1, pp. 37-46 (in Russ.).
    5. Nandagopal Nithyashree, Madhuram Dhanaraj, Senthil Kumar et al. Factors predicting poor outcome in patients with fulminant Guillaine ― Barré syndrome. Annals of Ind. acad. of neurology, 2014, vol. 17, no. 4, pp. 463-465.
    6. Komantsev V.N., Skripchenko N.V., Sosina E.S. et al. Types of lesions of the peripheral nervous system in children under critical conditions. Klin. bol’nitsa, 2012. ― no. 4 (03), pp. 101-109 (in Russ.).
    7. Franssen H. Electrophysiology in demyelinating polyneuropathies. Expert rev. of neurotherapeutics, 2008, vol. 8, no. 3, pp. 417-431.
    8. Grishina D.A., Suponeva N.A., Piradov M.A. et al. Electrophysiological prognosis criteria for Guillain-Barre. Nervno-myshech. bolezni, 2012, no. 3, pp. 33-43 (in Russ.).
    9. Kimura J. Electrodiagnosis in diseases of nerve and muscle: principles and practice. 4nd ed. Oxford; New York: Oxford University Press, 2013. XXIX, 1146 p.: ill.
    10. Zhivolupov S.A., Shapkova E.Yu., Samartsev I.N. et al. Pathogenesis and a new strategy for correcting neural conduction disorders in compression-ischemic neuropathies (clinical and experimental study) . Zhurn. nevrologii i psikhiatrii im. S.S. Korsakova, 2010, vol. 110, no. 8, pp. 41-50 (in Russ.).
    11. Jeannette Hofmeijer, Hessel Franssen, Leonard J. van Schelven et al. Why are sensory axons more vulnerable for ischemia than motor axons? PloS ONE, 2013, available at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0067113, free. Title of screen.
    12. Tatsunori Ikemoto, Toshikazu Tani, Shinichirou Taniguchi et al. Effects of experimental focal compression on excitability of human median motor axons. Clinical neurophysiology, 2009, vol. 120, no. 2, pp. 342-347.
    13. Merkulova D.M., Merkulov Yu.A., Nikitin S.S. et al. Tunneling neuropathies. Diagnosis and principles of pathogenetic therapy. Consilium Medicum, 2012, vol. 14, no. 2, pp. 32-38 (in Russ.).
    14. Arun Krishnan V., Richard Phoon K.S., Bruce Pussell A. et al. Ischaemia induces paradoxical changes in axonal excitability in end-stage kidney disease. Brain, 2006, vol. 129, no. 6, pp. 1585-1592.
    15. Ilona Mogyoros, Matthew C. Kiernan, David Burke et al. Ischemic resistance of cutaneous afferents and motor axons in patients with amyotrophic lateral sclerosis. Muscle & nerve, 1998, vol. 21, no. 12, rr. 1692-1700.
    16. Bostock H., Katia Cikurel, David Burke Threshold tracking techniques in the study of human peripheral nerve. Muscle & nerve, 1998, vol. 21, no. 2, rr. 137-158.
    17. Robert Hadden D.M., David Cornblath R., Richard Hughes A.C. et al. Electrophysiological classification of Guillain-Barre syndrome: clinical associations and outcome. Plasma Exchange. Sandoglobulin Guillain-Barré Syndrome trial group. Annals of neurology, 1998, vol. 44, no. 5, rr. 780-788.
    18. Ruess J.M., David Abramson I., Reuben Wasserman R. et al. Motor nerve conduction velocity in normal and diabetic subjects: effect of repeated periods of ischemia. Arch. of physical medicine a. rehabilitation, 1973, vol. 54, no. 5, rr. 221-223.
    19. Friedrich O. Critical illness myopathy: sepsis-mediated failure of the peripheral nervous system. Europ. j. of anaesthesiology, 2008, vol. 25, suppl. 42, pp. 73-82.
    20. Robert Miller G., Gordon Peterson W., Jasper Daube R. et al. Prognostic value of electrodiagnosis in Guillain-Barre syndrome. Muscle & nerve, 1988, vol. 11, no. 7, pp. 769-774.

    Метки: 2017, A.V. KLIMKIN, acute inflammatory demyelinating polyneuropathy, Children, electro-neuromyography, N.V. SKRIPCHENKO, Practical medicine 10 (17) Pediatrics, V.B. VOITENKOV

    ‹ Neural conductivity in children with cerebral meninges inflammation  Immunoprophylaxy of respiratory-syncytial viral infection in prematurely children with bronchopulmonary dysplasia ›
    • rus Версия на русском языке


      usa English version site


      Find loupe

      

    • PARTNERS

      пов  logonew
    «Для
    Practical medicine. Scientific and practical reviewed medical journal
    All rights reserved ©