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肌萎缩侧索硬化症中的自主神经功能紊乱。

Dysautonomia in Amyotrophic Lateral Sclerosis.

机构信息

Department of Clinical Neurosciences, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Department of Neurology, Colentina Clinical Hospital, 020125 Bucharest, Romania.

出版信息

Int J Mol Sci. 2023 Oct 5;24(19):14927. doi: 10.3390/ijms241914927.

DOI:10.3390/ijms241914927
PMID:37834374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10573406/
Abstract

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease, characterized in its typical presentation by a combination of lower and upper motor neuron symptoms, with a progressive course and fatal outcome. Due to increased recognition of the non-motor symptoms, it is currently considered a multisystem disorder with great heterogeneity, regarding genetical, clinical, and neuropathological features. Often underestimated, autonomic signs and symptoms have been described in patients with ALS, and various method analyses have been used to assess autonomic nervous system involvement. The aim of this paper is to offer a narrative literature review on autonomic disturbances in ALS, based on the scarce data available to date.

摘要

肌萎缩侧索硬化症(ALS)是一种神经退行性疾病,其典型表现为下运动神经元和上运动神经元症状的组合,具有进行性病程和致命结局。由于对非运动症状的认识不断提高,目前认为该病是一种具有很大异质性的多系统疾病,在遗传、临床和神经病理学特征方面均存在差异。自主症状在 ALS 患者中经常被低估,并且已经使用各种方法分析来评估自主神经系统的受累情况。本文旨在根据目前有限的数据,对 ALS 中的自主障碍进行叙述性文献综述。

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本文引用的文献

1
Synaptic Dysfunction and Plasticity in Amyotrophic Lateral Sclerosis.肌萎缩侧索硬化症中的突触功能障碍和可塑性。
Int J Mol Sci. 2023 Feb 27;24(5):4613. doi: 10.3390/ijms24054613.
2
Molecular Dissection of TDP-43 as a Leading Cause of ALS/FTLD.TDP-43 作为 ALS/FTLD 的主要病因的分子剖析。
Int J Mol Sci. 2022 Oct 19;23(20):12508. doi: 10.3390/ijms232012508.
3
Pilot Study of Real-World Monitoring of the Heart Rate Variability in Amyotrophic Lateral Sclerosis.肌萎缩侧索硬化症心率变异性的真实世界监测初步研究。
Front Artif Intell. 2022 Jul 7;5:910049. doi: 10.3389/frai.2022.910049. eCollection 2022.
4
Early presentation of lower urinary tract and bowel dysfunction in sporadic amyotrophic lateral sclerosis: A case report.散发性肌萎缩侧索硬化症患者下尿路和肠道功能障碍的早期表现:一例报告
eNeurologicalSci. 2022 Jun 18;28:100413. doi: 10.1016/j.ensci.2022.100413. eCollection 2022 Sep.
5
Enteric Nervous System: The Bridge Between the Gut Microbiota and Neurological Disorders.肠神经系统:肠道微生物群与神经疾病之间的桥梁
Front Aging Neurosci. 2022 Apr 19;14:810483. doi: 10.3389/fnagi.2022.810483. eCollection 2022.
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A Gut Feeling in Amyotrophic Lateral Sclerosis: Microbiome of Mice and Men.肌萎缩侧索硬化症的直觉:小鼠和人类的微生物组。
Front Cell Infect Microbiol. 2022 Mar 11;12:839526. doi: 10.3389/fcimb.2022.839526. eCollection 2022.
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