RESUMO
Clinical-electrophysiological examination of 108 patients with demyelinated diseases of the nervous system, which included electromyography, electroneuromyography and study of trunk evoked potentials, allowed the authors to identify criteria of the differential and topical diagnosis in multiple sclerosis, multiple encephalomyelitis and encephalomyelopolyradiculoneuritis. Data provided by a combined electrophysiological examination employing the above listed techniques expand our understanding of individual elements of the pathogenesis of demyelinated diseases involving the nervous system.
Assuntos
Esclerose Múltipla/diagnóstico , Adolescente , Adulto , Tronco Encefálico/fisiopatologia , Diagnóstico Diferencial , Eletrodiagnóstico , Encefalomielite/complicações , Encefalomielite/diagnóstico , Potenciais Evocados , Humanos , Pessoa de Meia-Idade , Condução Nervosa , Nervos Periféricos/fisiopatologia , Polirradiculoneuropatia/complicações , Polirradiculoneuropatia/diagnósticoRESUMO
Clinical and electrophysiological examinations of 20 patients with disseminated sclerosis and 8 patients with disseminated encephalomyelitis were carried out. The data of the examinations were compared with those obtained from registering truncal evoked potentials. This comparison contributed to specifying the criteria for diagnostic differentiation between these two diseases. The changes of the truncal evoked potentials in disseminated sclerosis pointed to a process of demyelinization in the brain trunk. These changes, however, were not characteristic for disseminated encephalomyelitis.