reflex neurosis
Introduction
Introduction to Reflex Neurosis Reflex neuropathy is also known as somatic neuropathy. A disease in which the sympathetic peripheral nerve is slightly damaged and reflexively causes severe neurological dysfunction in the affected innervation area and its outer part. The disease is mainly caused by minor trauma to the extremities, such as stab wounds, bruises, cuts, earthquakes, acupuncture or acupoint injections, etc., which damage the median nerves, phrenic nerves, sacral nerves and other peripheral nerves rich in sympathetic nerve fibers. Forming a permanent stimulation spot at the wound, stimulating the proprioception and deep pain fibers, and sending out pathological impulses, continuously transmitted to the spinal cord, forming pathological dominant lesions in the corresponding and adjacent segments of the spinal cord, when the pathological dominant lesions The anterior horn of the spinal cord is characterized by reflex palsy when inhibited, and reflex sputum when excitatory is dominant. basic knowledge The proportion of illness: 0.0003% Susceptible people: no special people Mode of infection: non-infectious Complications:
Cause
Causes of reflex dysfunction
Cause:
The disease is mainly caused by minor trauma to the extremities, such as stab wounds, bruises, cuts, earthquakes, acupuncture or acupoint injections, etc., which damage the median nerves, phrenic nerves, sacral nerves and other peripheral nerves rich in sympathetic nerve fibers. Forming a permanent stimulation spot at the wound, stimulating the proprioception and deep pain fibers, and sending out pathological impulses, continuously transmitted to the spinal cord, forming pathological dominant lesions in the corresponding and adjacent segments of the spinal cord, when the pathological dominant lesions The anterior horn of the spinal cord is characterized by reflex palsy when inhibited, and reflex sputum when excitatory is dominant.
pathology:
When the pathological dominant lesions affect the lateral autonomic nerve center, there may be autonomic dysfunction. This pathological dominant lesion is limited to one side of the spinal cord and exhibits ipsilateral symptoms. If the contralateral spinal cord segment is simultaneously affected (generalization) , can be expressed as bilateral symptoms, but often manifested as the primary side is heavier, in addition, mental factors, excessive tension also play a role in the occurrence of the disease.
Prevention
Reflex neurosis prevention
(1) Develop sports, enhance the people's physical fitness, and enhance the body's resistance and immunity to reduce the occurrence of mental disorders caused by acute and chronic central nervous system infections and mental disorders caused by physical diseases.
(2) Pay attention to labor protection. With the rapid development of industry and agriculture, special attention should be paid to labor protection to reduce mental disorders caused by acute and chronic poisoning caused by mercury, lead, benzene, manganese, carbon monoxide (gas) and certain pesticides. To prevent alcohol abuse and popularize drug use, Avoid the occurrence of mental disorders caused by some mentally active substances.
Complication
Reflex neuropathy complications Complications
If treated promptly after onset, it can be completely cured in a short period of time with a good prognosis. If a serious case is not treated in time, the course of the disease can be prolonged, stubborn and unhealed, and there are more serious sports and autonomic disorders.
Symptom
Symptoms of Reflex Disorders Common Symptoms Sensory Disorders Skin Temperature Reduces Standing Hair Reflex Hyperactive Autonomic Dysfunction Muscle Atrophy Stress Function Reduces Pharyngeal Reflex
The clinical manifestations of this disease are special, the acral nerve injury is mild and the pathological response is heavy, the range of nerve damage is small and the range of neurological dysfunction is large, far beyond the range of injured nerve innervation. Its characteristics of neurological dysfunction are:
First, obvious early autonomic dysfunction: often in the half an hour to several hours after the injury, the affected limb is severely swollen, the skin color is red, purple or marble-like changes, and sometimes there are blisters. The skin temperature is lowered. In the later stage, there may be pigmentation and nutrient changes in the skin and nails.
Second, severe dyskinesia: more manifested as reflex sputum, can also be expressed as reflex contracture. Early onset of muscle atrophy of the injured limb, and even spread the entire affected limb. Muscles are excitatory to mechanical and electrical stimulation. The reflection of the sputum is too much, and it can also be reduced or disappeared.
3. Severe tenderness and exercise pain in the wounded area and around it: When the injury occurs, there may be severe pain in the injured part or simultaneous radiation to the distal end. Objective examination may have a set of sensory disturbances (reduction or allergy).
Examine
Examination of reflex dysfunction
Auxiliary examination: blood, urine routine. Blood biochemical routine. B super, color ultrasound.
Diagnosis
Diagnosis and differentiation of reflex neurasthenia
It is not difficult to diagnose according to the characteristics of clinical manifestations. However, it must be differentiated from the following diseases. Patients with obvious autonomic dysfunction should be differentiated from erythematous limb pain, cellulitis, atopic dermatitis, etc.; those with obvious dyskinesia should be differentiated from peripheral nerve injury and snoring; those with obvious pain symptoms should be associated with burning neuralgia and shoulder Identification of the syndrome, etc.
