Riggs Jack E
Department of Neurology, West Virginia University School of Medicine, Morgantown, West Virginia 26506-9180, USA.
Neurol Clin. 2002 Feb;20(1):227-39, vii. doi: 10.1016/s0733-8619(03)00060-4.
Electrolyte disturbances occur commonly and are associated with a variety of characteristic neurologic manifestations involving both the central and peripheral nervous systems. Electrolyte disturbances are essentially always secondary processes. Effective management requires identification and treatment of the underlying primary disorder. Since neurological symptoms of electrolyte disorders are generally functional rather than structural, the neurologic manifestations of electrolyte disturbances are typically reversible. The neurologic manifestations of serum sodium, potassium, calcium, and magnesium disturbances are reviewed.
电解质紊乱很常见,并且与涉及中枢和外周神经系统的多种特征性神经表现相关。电解质紊乱本质上总是继发过程。有效的管理需要识别并治疗潜在的原发性疾病。由于电解质紊乱的神经症状通常是功能性的而非结构性的,所以电解质紊乱的神经表现通常是可逆的。本文综述了血清钠、钾、钙和镁紊乱的神经表现。