changes

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[Intro]

changes in intervertebral disc space showed abnormal widened, narrow or disappear.

[Cause]

silkworm pupae encephalopathy is caused by what the?

(a) causes

cause is not completely clear. Patients had history of consumption of silkworm pupa, chrysalis degeneration is not, nor mixed with pesticide caused due to pupa. However, the number of people with food, or dozens of people who, only the individual disease, it is individual differences associated with disease.

(B) the pathogenesis

silkworm pupae in the pathogenesis of encephalopathy is uncertain, some scholars believe that in doing tussah cocoon infected before the "particles" disease, but still capable of continuing into a pupa, and the body break down the protein has been denatured, and produce toxins, the toxin's affinity with the neurotropic virus, acting on the strong sensitivity of the body, affecting the central nervous system The incidence (Wang Xi Sheng, 1984); Other scholars believe that the consumption of silkworm pupae may cause central nervous system after allergy, is an individual pupae of silkworm protein sensitive to a body, caused by allergic encephalopathy (Tang Hongchuan, etc., 2000 .)

[Sign]

silkworm chrysalis early encephalopathy What are the symptoms?

1. symptoms usually within 24h after eating silkworm pupae appear, and gradually reached a peak for several days to ten days, then slow recovery, the general disease Chengcheng Liang of the process.

2. The main clinical manifestations of disease, dizziness, nausea, vomiting, tremor, unsteady gait and other symptoms. In severe cases, paralysis of limbs, urinary incontinence, and coma, and convulsions. May also suffer from mental abnormalities: such nonsense, auditory hallucinations, visual hallucinations and delirium symptoms (car Cheng Fu et al, 1989).

3. examination shows the eyelids, eye, face and body of the involuntary tremors, staggering, difficulty walking, paralysis, coma, pathological reflexes and meningeal irritation.

4. incidence and severity of the disease and the amount of food pupa no correlation.

1. pernyi pupae have the history of food, food within 24h after onset.

2. First of dizziness, nausea, vomiting; then there are the tongue, face, limbs, muscle tremors and staggering, and ataxia such as muscle tension and other extrapyramidal symptoms.

3. In severe cases, delirium, irritability, auditory hallucinations, visual hallucinations and even coma performance.

4. have abnormal EEG, and cerebrospinal fluid and brain CT examination showed no obvious abnormalities, can make a diagnosis.

[Aftertreat]

encephalopathy ate silkworm chrysalis?

[Prevent]

How to prevent changes in the intervertebral space?

one, sleep hard Banchuang. Banchuang sleep can reduce the disc pressure.

Second, pay attention to the waist warm, try not to catch cold during the day wearing a waist circumference, waist (belt protection), strengthening the lower back protection, while enabling the lumbar recovery.

Third, they usually do not do the bending force of the action (such as mopping the floors ...), acute exacerbation as bed rest, pain should ease after the period. attention to proper rest, do not overdo., so as not to aggravate the pain

[Treat]

silkworm pupae encephalopathy before treatment considerations?

(a) treatment

1. an integrated treatment approach, the major glucocorticoid, vitamin B family, Vitamin C treatment. At the same time may be given scopolamine, trihexyphenidyl (Artane) to improve tremor, vertigo symptoms.

2. attention to prevention and treatment of cerebral edema, and fluid replacement, prevention of infection.

3. give nutritional brain cells of drugs (such as ATP) therapy.

(b) the prognosis

disease Chengcheng Liang of the disease process, prognosis is good, usually within half recovery, a small number of severe, recovery slower.

silkworm pupae encephalopathy Chinese medicine treatment methods

No information

silkworm pupae encephalopathy Western treatment

No information

[Examine]

intervertebral changes which checks should be done?

seen from the X-ray changes is the intervertebral disc space through the outstanding performance of an X-ray, it is best for CT diagnosis.

lateral intervertebral disc can be displayed where the gap. This gap in the lumbar spine increases from top to bottom in the L5S1 disc space between the front after the narrow width to fit the lumbosacral angle, when the disc degeneration, L4-5 or L5S1 gap can be narrowed, but not disc space narrowing and the same. Outstanding young local disc does not necessarily show the disc space narrowing.

[Diff]

changes in the intervertebral space and which is easy to confuse the symptoms?

changes in the differential diagnosis of disc space:

1, change the size of the spinal canal: vertebral pipe size changes mainly the spinal canal stenosis and expand.

2, spinal cord compression: Spinal cord compression is the nature of the lesions caused by a variety of spinal cord, spinal nerve root and the vascular supply to the pressure of a group of diseases.

3, spina bifida: Spina bifida refers to a congenital spinal dysraphism, spinal dorsal or ventral in the formation of cracks can be with or without spina neural components of prominent deformity. Such abnormalities are more common clinical, population in the census, 5% ~ 29% of which occurs mainly in the first sacral vertebrae 1 and 2 and 5 at the lumbar spine. The main causes embryonic cartilage into bone center or center of developmental disorders, so that both sides do not fuse in the back of the arch formed by fissures of varying width. Simple bone fractures are called hidden spina bifida, the most common; if accompanied by spina bifida or spinal cord, spina bifida was dominant, accounting for 1 ‰ ~ 2 ‰, the latter in the treatment of difficult, and more an area of ​​neurosurgery.

seen from the X-ray changes is the intervertebral disc space through the outstanding performance of an X-ray, it is best for CT diagnosis.

lateral intervertebral disc can be displayed where the gap. This gap in the lumbar spine increases from top to bottom in the L5S1 disc space between the front after the narrow width to fit the lumbosacral angle, when the disc degeneration, L4-5 or L5S1 gap can be narrowed, but not disc space narrowing and the same. Outstanding young local disc does not necessarily show the disc space narrowing.

[Disease]

intervertebral change-related diseases

idiopathic scoliosis, congenital scoliosis in children with spina bifida spina bifida spina bifida recessive spinal column, spinal cord injury in ankylosing spondylitis ankylosing spondylitis scoliosis inflammatory scleritis spina bifida and related malformations

more back symptoms

small blisters appear back back pain back spasms, back pain does not have subtle linen spine sinus pain and back pain with sensory ataxia spinal nerve root damage spinal cord hemisection syndrome, spinal cord lesions of hemorrhagic infiltration of the spinal cord injury spinal cord infarction, cauda equina involvement across the spinal cord within the spinal cord gliosis in the spinal cord anterior horn of the spinal cord lesion cavity formed spinal thalamic tract by pressure