GANGLIONITIS

From Big Medical Encyclopedia

GANGLIONITIS (ganglionitis; lat. ganglion a nerve knot + - itis) — damage of a sympathetic nerve ganglion. Several nodes — a polyganglionitis, a truncitis can be involved in process (see). The combination of damages of sympathetic nerve ganglions and peripheral nerves (ganglioneuritis), sympathetic nerve knots and segmented roots of a spinal cord is possible (radiculogangliitis).

An etiology

G.'s Emergence is usually connected with acute or hron, an infection (flu, quinsy, malaria, a brucellosis, rheumatism, syphilis, etc.), is more rare intoxications, injuries, tumors. Sometimes is a complication of inflammatory diseases of female generative organs, osteochondrosis of a backbone. Mental injuries, meteorological and climatic factors can provoke and aggravate a disease. More often the left sympathetic trunk, verkhnesheyny and star-shaped nodes is surprised.

The clinical picture

At G. is observed the polymorphism of symptoms characteristic of pathology of century of N of page: paresthesias, thermalgias which can extend to all half of a body, a painful itch in the area relating to the struck ganglion. There is a morbidity at a palpation of acanthas of vertebrae (especially at radiculogangliites). Quite often pains arise pristupoobrazno. There can be functional disturbances and pains from the internals innervated by the struck nodes. Kozhnotrofichesky disturbances develop: decolourization and xanthopathies, thinning and ulceration of skin, hypostasis of hypodermic cellulose; regional sweating and thermal control is broken. From the motive sphere — a regional atrophy of muscles, change of a muscle tone, contracture and an ankilozirovaniye of joints, an areflexia. At defeat of an upper cervical sympathetic node all these changes are observed in the head, the person, a neck. At defeat of a star-shaped node — a psevdostenokardichesky syndrome and pains in a hand and an upper part of a thorax. At defeat of the lower chest and lumbar nodes — disturbances of a vegetative and trophic innervation of the bottom of a trunk and legs and dysfunction of abdominal organs and a small pelvis.

The diagnosis

G.'s Diagnosis is based on a wedge, to symptomatology and in some cases is connected with considerable difficulties. It is necessary to differentiate G. with myelosyringosis (see), neurovascular syndromes, meningoradiculites (see. Radiculitis ), neuritis of somatic nerves (see. Neuritis ). It is necessary to exclude diseases of internals: hearts — at cervical and verkhnegrudny ganglioneurites, abdominal organs — at the lower chest and lumbar G.

Treatment

Treatment etiological: at inflammatory processes — antibiotics and the desensibilizing means, at tumors — operation etc. Complex therapy joins pathogenetic the allocated and fortifying funds, drugs reducing excitability of vegetative educations: ganglioblokator (Pachycarpinum, Gangleronum, etc.)» neuroleptics (aminazine, Triphtazinum, etc.). The physical therapy is recommended: Bernard's currents, ultrasonic therapy, ionogalvanization and novocainic blockade, segmentarno uv radiation and dirt of low temperature, radonic, hydrosulphuric and salt baths. Neurosurgical intervention (see. Gangliectomy , Sympathectomy ) it is shown only in hard cases.

Forecast for life favorable, but the disease in some cases proceeds is long, working capacity decreases.

Prevention it is carried out taking into account a role of primary etiological factors.


Bibliography: Grinstein A. M. and Popov N. A. Vegetative syndromes, M., 1971; Markelov G. I. Diseases of the autonomic nervous system, Kiev, 1948; Rusetsky I. I. Vegetative nervous disturbances, M., 1958; Chetverikov N. S. Diseases of the autonomic nervous system, M., 1968.

I. A. Dmitriyev.

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