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[神经系统疾病的基础理论:发生、决定因素及系统机制]

[Basic theory of nervous system disorders: generative, determinant and systemic mechanisms].

作者信息

Kryzhanovskiĭ G N

出版信息

Vestn Ross Akad Med Nauk. 1993 Jul-Aug(7):17-24.

PMID:7694705
Abstract

The paper deals with the virtually unknown and little studied aspect of the pathogenesis of nervous disorders, which consists in emergence of new pathological integrations in the central nervous system (CNS). The formation and activity of these integrations are realized by endogenous mechanisms intrinsic to the damaged nervous system. The pathological integration of hyperactive neurons as their aggregate is a generator of pathologically enhanced excitation (GPEE). GPEE is capable of producing intense and uncontrolled impulse flow and developing in certain conditions self-sustained and even increased activity. The CNS region where GPEE is formed, becomes hyperactive, alters the other, linked with it, CNS structures and induces the formation of systemic pathologic integration in the form of a new pathodynamic organization, i.e. pathologic system (PS). This system-forming CNS region plays a role of a key, determinant part of PS. The main biological feature, which makes PS different from physiological systems, it is inadaptive or direct pathogenic significance for the organism. The neuropathologic syndrome is a clinical manifestation of PS activity. Each neuropathologic syndrome has an appropriate PS, and its specificity and content depend on which CNS structures constitute PS. Due to plasticity processes, the positive links between the PS part become consolidated with time and as a result the PS resistance to endogenous sanogenetic mechanisms and curative therapeutic treatment increases. In creating GPEE in a certain, pathogenetically important CNS region, one can reproduce the corresponding neuropathologic syndrome in modelling experiments. The basic principle in the treatment of nervous disorders consists in elimination of their pathologic systems.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本文探讨了神经疾病发病机制中几乎未知且鲜有研究的一个方面,即中枢神经系统(CNS)中新的病理整合的出现。这些整合的形成和活动是由受损神经系统固有的内源性机制实现的。过度活跃神经元作为一个集合体的病理整合是病理性增强兴奋的发生器(GPEE)。GPEE能够产生强烈且不受控制的冲动流,并在某些条件下发展出自持甚至增强的活动。GPEE形成的中枢神经系统区域会变得过度活跃,改变与之相连的其他中枢神经系统结构,并诱导形成一种新的病理动力组织形式的系统性病理整合,即病理系统(PS)。这个形成系统的中枢神经系统区域在PS中起关键的决定性作用。使PS与生理系统不同的主要生物学特征在于,它对机体具有不适应性或直接致病意义。神经病理综合征是PS活动的临床表现。每种神经病理综合征都有相应的PS,其特异性和内容取决于构成PS的中枢神经系统结构。由于可塑性过程,PS各部分之间的正向联系会随着时间巩固,结果PS对内源性健康生成机制和治疗性治疗的抵抗力增强。在某个对发病机制具有重要意义的中枢神经系统区域产生GPEE时,可以在模型实验中重现相应的神经病理综合征。治疗神经疾病的基本原则在于消除其病理系统。(摘要截取自250字)

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