kef 30 pathiseis periferikou ns

Question 1

ti einai i baleriani ekfilisi

Answer 1

ekflisisi twn nevraksonwn twn nevrikwn kitarwn

Question 2

xaraktiristiki okseia/ipokseia nevropatheia

Answer 2

guillain barre

Question 3

kinitikes nevropatheies

Answer 3

guillain barre(flegmwnwdi apomielinwtiki) ,porfiria diftheritida kai molivdo

Question 4

aisthitikes nevropatheies

Answer 4

apo lepra ,sd(aksoniki nevropatheia),amiloeidwsi ,elleipsib12(aksoniki nevropatheia)

Question 5

sti nevroapraksia exoume _ enw stin aksonotmisi exoume_

Answer 5

tmimatiki apomielinwsi pou nevrou logo piesis,,,,,,,aksoniki ekfilisi(se oliki fasi nevronotmisi)

Question 6

poio nevro perna apo ton tarsiaio solina kai poies oi kiries diakladwseis tou

Answer 6

to knimiaio/…. esw kai eksw pelmatiaio ,

Question 7

peroniaia miiki atrofia nosos cmt i klironimiki kinitiki kai aisthitiki nevropatheia(hmsn)

Answer 7

provlima stin mielini(gonidia pmp-22,po) epomenos apomielinwsi,atrofia sta katw akra podia pelargou kai koilopodia

Question 8

oikogeneis amiloeidikes polinevropatheies

Answer 8

epodines paresthisies sta katw akra,apoleia mikrwn aisthitikwn nevrwn prwta (thermokrasias kai ponou),meta diataraxi se ola ta oidi periferikwn nevrwn,(diataraxes aftonomou,provlima sta gonidia amiloeidikwn prwteinwn: transthiretinis(ttr) ,apolipoprwteini a1,gkelsonini

Question 9

33% twn asthenwn 1-4 vdomades prin tin gb emfanizoun loimwksi apo poia mikrovia einai?

Answer 9

kampilovaktiridio tis nistidos(diarroiko sindromo),cmv,ebv,mikoplasma tis pnevmonias,ipatitida,hiv

Question 10

pathan vlavi guillain barre(okseia flegmwnwdis apomielinwtiki polirizonevropatheia)

Answer 10

diaxiti poliestiaki tmimatiki apomielinwsi se ola ta periferika nevra ,sto simeio tis apomielinwsis exoume lfegmonwdi diithisi apo lemfokitara kai sto telos aksoniki ekfilisi

Question 11

simtwmata gb

Answer 11

okseia nevromiiki paralisi,aniousa proodeftiki miiki adinamia mexri ofthalmokinitikous ,apo ta katw akra mexri ton avxena,,katargisi tenwntiwn antanaklastikwn apo tis prwtes imeres, paraisthisies kai mialgies

Question 12

ergastiriaka evrimata gb

Answer 12

leukomatokittarikos dixasmos so eny(avksimeno lefkwma,fisiologika kittara),se ilektrofisiologiko elegxo exoume meiomeni taxitita agwgis k F kimma se eksetaseis aimatos exoume: antiswmata kata gaggliosidwn GM1 (25% twn periptwsewn),tke,lefka,ipatika ,meiwsi na(provlima stin antidiouritiki)

Question 13

klinikes parallages gb

Answer 13

sindomo miller fisher(ekswteriki ofthalmopligia ataksia kai katargisi tenontiwn antanaklastikwn) : ston oro IgG enanti gaggliosidiou GQ1b ,

Question 14

poreia gb

Answer 14

egkatastasi 1-4 w
statheropoisi 2-4 w
apokatastasi 6m -2y

Question 15

therapeia gb

Answer 15

plsamaferesi 2-4 siedries

iv anososfairini 0,4g/kg gia 5d

Question 16

xronia flegmonwdis apomielinwtiki polirizonevropatheia CIDP ,poia einai ta ipoxrewtika klinika kritiria diagnwsis

Answer 16

proodeftiki miiki adinamia(>2 months)
meiwsi i katargisi antanaklastikwn
miiki adinamia kai periferika aisthitika simptwmata

Question 17

xronia flegmonwdis apomielinwtiki polirizonevropatheia,ergastiriaka (therapeia ;prednizoni kai plasmaferesi)

Answer 17

prwteini eny >45mg/ml kai kittara therapeia prednizoni

Question 18

poies nosoi kanoun paraprwteinemia(avksisi monoklwnikou antisomatos dld anososferines apo plasmatokitara)

Answer 18

mielwma,lemfwma,makrosfairinaimia ,sistimatiki amiloeidwsi,aftes oi paraprwteines Ig(M–>MAG,G,A) exoun antigona stoxous

Question 19

poreia makrosfairinaimias tou waldenstrom

Answer 19

kakoithi lemfokittara ston mielo ,ekrinoun igM monoklwniki prwteini , afti kanei vareia simmertriki aisthitiki nevropatheia (paraisthisies algos +krampes ,anti MAG drastiriotita

Question 20

prosvoli periferikou nevrikou ti exoume me poiu katastrofi

Answer 20

katastrofi kitarikou swmatos:nevrwnopatheia eite kinitiki(prwsthio keras) eitai aisthitiki(nwtiaio gagglio) ,..aksonikes nevropatheies vlavi stous nevraksones kinitikous i aisthitikous….apomielinwtikes nevropatheies elitro mielinis schwann–>parempidisi agwgimotitas miiki adinamia ipies diataraxes aisthitikotitas (meiwsi taxititas agwgis)…meiktes nevropatheies(aksoniki ekfilisi tmimatiki apomielinwsi)

Question 21

nevropatheies aksonikes

Answer 21

idiopathis,metabolikes :diavitiki ipothireoeidiki nefriki aneparkeia ,toksikes ,steritikes alkool b12 e, sistimatikes sarkoeidwsi likos ,paraprwteinaimikes paraneoplasmatikes

Question 22

nevropatheies apomielinwtikes

Answer 22

FLEGMONWDEIS gb cidp poliestiaki kinitiki nevropathiea paraprwteinaimikes KLIRONOMIKES cmt t1 kai tipou 2 TOKSIKES,MITOXONDRIAKES,LOIMWDEIS ,LEMFWMA

Question 23

polinevropatheia :

Answer 23

simmetriki prosvoli twn periferikwn nevrwn apo toksikes metavolikes i klironomikes astheneies….ekfrazete eitai periferikou tipou (ganti kaltsa ) eitai kentromielikou tipou

Question 24

ti mporei na kanei pagidevsi nevrou

Answer 24

ipothireieidismos ,akromegalia ,arthropatheies ,kai katastaseis me genikevmeno eidima

Question 25

aisthitikokinitikes nevropatheies

Answer 25

sd ,nefriki aneparkeia alkoolismo ipith

Question 26

aftonomes nevropatheies

Answer 26

diaviti + prwima stadia amiloeidwsis

Question 27

sindromo karpiaiou solina logoi:(nevropatheia apo pagidevsi)

Answer 27

topiki pathologiki diergasia : travma ,lipwma kisti osteorthritikes alloiwseis ,se sxesi me sistimatikes katastaseis :egkimosini ipoth,akromegalia ,amiloeidwsi , idiopathes

Question 28

kliniki eikona sindromo karpiaiou solina

Answer 28

ponos kai paresthisies 3 prwtwn daktilwn kai palamis,mporei na antanakla kai kentrikotera,ipoxoroun me kremasma kai tinagma xeriwn,miiki adinamia atrofia ipaisthisia

Question 29

poio nevro kanei paraisthitiki miralgia

Answer 29

to eksw dermatiko nevro tou mirou

Question 30

sindromo tarsaiou swlina

Answer 30

dialeiponta kavstika algi stis patouses, aimwdies ,ipaisthisia

Question 31

avxeniki plegmatopatheia

Answer 31

prokaleitai apo ogkous pnevmona agkeiaka (s.d) toksika i aktinovolia,kanei pono ipaisthisia kai meiwsi kinitikotitas stin perioxi pou nevrwnei