Akut Motor ve Sensorial Aksonal Nöropati Sendromlu Bir Olgunun Rehabilitasyonu

Guillain-Barre Sendromu (GBS) demiyelinizasyon ile seyreden muhtemelen otoimmün mekanizmalarla oluşan akut bir polinöropatidir. GBS tanısı klinik, beyin omurilik sıvısı (BOS) bulguları ve elektronöromyografi (ENMG) ile konmaktadır. Akut Motor ve Sensorial Aksonal Nöropati sendromu GBS alt tiplerinden bir tanesidir ve prognozu diğer alt tiplere göre daha kötüdür. Akson hasarından dolayı sinir rejenerasyonu daha çok vakit almaktadır. Yavaş ve yetersiz iyileşme daha yoğun ve uzun süreli rehabilitasyon sürecini gerektirmektedir
Anahtar Kelimeler:

Rehabilitasyon, AMSAN, ENMG

Akut Motor ve Sensorial Aksonal Nöropati Sendromlu Bir Olgunun Rehabilitasyonu

Keywords:

-,

___

  • Asbury AK, Cornblath DR. Assessment of current diagnostic criteria for Guillain-Barré syndrome. Ann Neurol. 1990;27 Suppl:S21-24.
  • Feasby TE, Gilbert JJ, Brown WF et al. An acute axonal form of Guillain-Barré polyneuropathy. Brain. 1986;109:1115-1126.
  • Kuwabara S, Ogawara K, Mizobuchi K, Mori M, Hattori T. Mechanisms of early and late recovery in acute motor axonal neuropathy. Muscle Nerve. 2001;24:288-291
  • McKhann GM, Cornblath DR, Griffin JW et al. Acute motor axonal neuropathy: a frequent cause of acute flaccid paralysis in China. Ann Neurol. 1993;33:333- 342.
  • Alter M. The epidemiology of Guillain-Barré syndrome. Ann Neurol. 1990;27 Suppl:S7-12
  • Van der Meche FG, Schmitz PI. A randomized trial comparing intravenous immune globulin and plasma Exchange in Guillain-Barre syndrome. Dutch Guillain-Barre Study Group. N Engl J Med. 1992. 23;326:1123-1129
  • Ropper AH. The Guillain-Barré syndrome. N Engl J Med. 1992 23;326(17):1130-1136. Review
  • Newswanger DL, Warren CR. Guillain-Barre syndrome. Am Fam Physician 2004; 69:2405-2410
  • Asbury AK, Cornblath DR. Assessment of current diagnostic criteria for Guillain-Barré syndrome. Ann Neurol. 1990;27 Suppl:S21-24
  • Pfeiffer G, Schiller B, Kruse J, Netzer J. Indicators of dysautonomia in severe Guillain Barre syndrome. J Neurol 1999; 246: 1015-1022.
  • Meythalen JM, Devivo MJ, Braswell WC.
  • Rehabilitation oltcomes of patients who have developed Guillain-Barre syndrome. Am J Phys Med Rehabil. 1997;76:411-419
  • Bernsen RAJAM, Jagen AE, Schmitz PI, Van der Meche FGA. Residual physical outcome and daily living 3 to 6 years after Guillain Barre syndrome. Neurology 1999;53:409-410
  • Hiraga A, Mori M, Ogawara K, et al. Recovery patterns and long term prognosis for axonal Guillain- Barré syndrome. J Neurol Neurosurg Psychiatry. 2005;76:719-722