From Big Medical Encyclopedia

RECURRENT PARALYSIS (Latin recidivus renewing; Greek paralysis) — periodically arising central or flaccid paralysis. Genitive is a symptom of a number of the diseases which are characterized by functional or organic changes in a nervous system, the main wedge, the characteristic to-rykh is the tendency to a wavy current. Development of Genitive can

be the cornerstone the spasms and paresis of vessels of a brain, passing disturbances of a likvorodinamika demyelinating processes with a remittiruyushchy current, disbolism in neuromuscular system.

The peripheral Genitive arising owing to defeat cherepnomozgovy nerves (see), it is characterized by periodically arising oculomotor disorders, asymmetry of the face, bulbar and other disturbances. Preferential damage of these or those muscles, duration of loss and recovery of their function, frequency of a recurrence depend, as a rule, on the basic patol. process.

Genitive of muscles of an eyeglobe which is observed at ophthalmoplegic migraine (see. Migraine , Ophthalmoplegia ), it is shown by oculomotor disturbances in a look ptosis (see), diplegias, dispersing squint (see). These symptoms sometimes precede a sharp headache, edges can be followed by excitement and vomiting. Paralysis of muscles of an eyeglobe keeps within 1 — 4 weeks then function of muscles is gradually recovered. Genitive of the muscles innervated by cranial nerves can sometimes be noted at aneurisms of vessels of an arterial circle of a brain (a villiziyev of a circle), and also at tumors and cystous arachnoidites of basal localization. Genitive of the muscles innervated by facial nerves can be caused by inborn narrowing of the fallopian channel (the front channel, T.), to-ry quite often has family character. At such anatomic feature of a structure of a fallopiyev of the channel the flaccid paralysis of face muscles, as a rule, develops at inflammatory processes in an inner ear and is caused by squeezing of a nerve in the fallopian channel of a bone owing to hypostasis. In process of disappearance of hypostasis function of muscles is completely recovered.

Unilateral Genitive of face muscles can sometimes be observed at patol. processes in the field of a mostomozzhechkovy corner, napr, at cystous arachnoidites. The combined Genitive of muscles of an eyeglobe, a throat and throat can be a symptom myasthenias (see).

Peripheral Genitive is caused by hl. obr. by disturbance of metabolism in nervous and muscular fabrics it is also observed at a number of hereditary diseases, napr, at an inborn paramyotonia (see. Paramyotonia inborn ). Attacks of the muscular weakness which is combined quite often with a mialgiya are characteristic of muscular forms glycogenoses (see), myopathies (see), connected with disturbance of exchange a carnitine-palmitintransferazy and myoglobinuria (see).

The central Genitive is one of symptoms of repeated passing disturbances of blood circulation of a brain, aneurisms of brain vessels, the complicated hemiplegic form migraines (see). Motive frustration at the central Genitive can be various degree of manifestation — from a slight hemiparesis to a full hemiplegia. They keep from several hours to 2 — 3 days.

The central or peripheral Genitive is characteristic of initial stages multiple sclerosis (see), at Krom motive disturbances develop in the period of an exacerbation of a disease and can disappear completely during remission; degree of manifestation and localizations of these disturbances corresponds to distribution of sites of demyelination.

Are known also to Genitive of psikhogennofunktsionalny character, meeting at hysteria (see); motive disturbances at the same time develop sharply in connection with the psychoinjuring situation.

Treatment of recurrent paralyzes is a part of complex therapy of a basic disease. The forecast depends on character of the basic patol. process and features of its current.

See also Paralyses, paresis .

Bibliography: Bogolepov N. K. Cerebral vascular crises and stroke, M., 1971; Mikhaylov S. S. Arteriovenous sleepy and cavernous aneurisms, M., 1965; The Multivolume guide to surgery, under the editorship of B. V. Petrovsky, t. 3, book 2, page 631, M., 1968; Adams R. D. a. Victor M. Principles of neurology, N. Y., 1978; Becker P. E., To n u s s-mann R. Kubn E. Myotonia congenita and syndromes associated with myotonia, Stuttgart, 1977; Brugger A. Die Erkrankungen des Bewegungsapparates und seines Nervensystem, S. 912, Stuttgart, 1977; Handbook of clinical neurology, ed. by P. J. Vinken a. G. W. Bruyn, v. 5, p. 59, Amsterdam — N. Y., 1975, bibliogr.; Hosking G. P., Cavanagh N. P. C. a. Wilson J. Alternating hemiplegia, complicated migraine of infancy, Arch. Dis. Childh., v. 53, p. 656, 1978; Pediatric neurology and neurosurgery, ed. by R. A. Thompson a. J. R. Green, p. 183, N. Y., 1978.

L. O. Badalyan.