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Multipl sklerozda sempatik deri cevabı

Sympathetic skin response in multiple sclerosis

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Abstract (2. Language): 
In 10 patients with definite multiple sclerosis (MS) and 20 normal control subjects, sympathetic skin response (SSR) were recorded from both the palms and soles by electrical stimuli to the median nerve at the wrist. The SSR was present in all limbs of all normal subjects. Pathological responses in I or more limbs were recorded in 6 patients (II extremities) with MS. No significant relationship between pathological ofSSRs and spinothalamic tract dejicit. corticospinal tract deficit, brainstem deficit and neurogenic bladder deficit was obsen'ed. The abnormality of SSRs correlated significantly with the abnormality of somatosensory evoked potentials (p 0.03). Good correlation betweeen the number of pathological SSRs and the severity of the disability (r =0.82. p 0.003) caused by MS was obsen'ed. These results suggest that SSR is a valuable test for in I he assessment of autonomic involvement in MS. /Journal of Turgut Özal Medical Center I (4):268-2~ 1.1994/
Abstract (Original Language): 
Mediyan sinirin bilekten uyarımı ile her iki el ve ayaktan elde edilen sempatik deri cevabı (SDC) 20 normal kontrol olgusunda ve kesin multipl sklerozlu (MS) 10 olguda kaydedildi. Normal olguların tümünde her uyarıda ve 4 ekstremitede SDC 'ler net olarak kaydedildi. MS 7/ 6 olguda (II ekstremitede) patolojik cevab alındı. Hasta/ardaki kortikospinal traktus, spinotalamik traktus. beyin sapı tutulumu ve nörojenik mesane bulguları ile SDC patolojisi arasında anlamlı bir ilişki olmadığı görüldü. SEP anormalliğiyle SDC patolojisi arasında anlamlı bir ilişki (p 0.03) olduğu saptandı. Hastaların EDSS değerleri ile SDC patolojisinin korelasyon gösterdiği görüldü. Bulgular SDC 'nin MS de olonomik tutulumu göstermekte informatif bir değeri olduğunu telkin etti. [Turgut (hal Tıp Merkezi Dergisi 1(4):268-2~1,1994]
268-271

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