Asunto(s)
Encéfalo/irrigación sanguínea , Isquemia/diagnóstico , Médula Espinal/irrigación sanguínea , Adolescente , Adulto , Niño , Femenino , Hemorragia/diagnóstico , Hemorragia/fisiopatología , Humanos , Infarto/diagnóstico , Infarto/fisiopatología , Isquemia/fisiopatología , Masculino , Persona de Mediana Edad , Flujo Sanguíneo RegionalRESUMEN
The authors studied the development of transient disorders of blood supply in the spinal cord and radicles. Besides the well known clinical forms which are described as syndromes of intermittent claudication of the spinal cord and cauda equina, there are some other variants of this disorder. Transient ischemia of this localization as a rule is either connected with atherosclerosis of the abdominal aorta, either with degenerative-dystrophic or congenital changes in the sacral part of the spine. The authors underline the role of individual differences in the vascularization of the spinal cord in the development of disorders in spinal circulation. The prognosis of transient ischemia, its correlation with stable disturbances is assessed. A differential diagnosis is also made between different transient vascular spinal disorders and radicle disturbances.
Asunto(s)
Isquemia/diagnóstico , Médula Espinal/irrigación sanguínea , Raíces Nerviosas Espinales/irrigación sanguínea , Adulto , Anciano , Enfermedades de la Aorta/complicaciones , Arteriosclerosis/complicaciones , Humanos , Infarto/diagnóstico , Desplazamiento del Disco Intervertebral , Isquemia/complicaciones , Isquemia/etiología , Masculino , Persona de Mediana Edad , Trastornos del Movimiento/etiología , Dolor , Paraplejía/etiología , Remisión Espontánea , Enfermedades de la Columna Vertebral/complicaciones , SíndromeRESUMEN
The authors have given a critical review of existing classifications of myodystrophies from 1884 till 1973. They propose a new systematization based on the formula of muscular lesions during different phases of the disease and on the formula of a generalization of the myodystrophical process. It is assumed that the formula of muscular atrophies and the direction of the generalization of the myodystrophical process is genetically conditioned and should be considered as an important sign of hereditary neuro-muscular diseases. The authors believe that the facio-scapulo-limb type of myodystrophy both clinically and genetically is not homogenous. This form of dystrophy should be divided into 2 variants: a gradually descending one and a descending one with a "jumping" of muscular atrophies from the upper half of the body (face, shoulder) to the peroneal group of muscles on the skin.