神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理

第十五章周圍神經(jīng)疾病(PeripheralNeuropathy)第十五章周圍神經(jīng)疾病1目的要求掌握三叉神經(jīng)痛的臨床表現(xiàn)和治療方法掌握面神經(jīng)炎的臨床表現(xiàn)及其治療方法掌握急性炎癥性脫髓鞘性多發(fā)性神經(jīng)病的臨床表現(xiàn)、診斷和鑒別診斷、治療原則目的要求2周圍神經(jīng)疾病概述三叉神經(jīng)痛特發(fā)性面神經(jīng)炎格林-巴利綜合征周圍神經(jīng)疾病3周圍神經(jīng)疾病-概述病因心特發(fā)性:自身免疫性疾病心營養(yǎng)及代謝性:酒中毒、糖尿病、維生素缺乏。心藥物及中毒:氯霉素、乙胺丁醇、苯妥英鈉等心傳染性及肉芽腫性:麻風、艾滋病、白喉等心血管炎性:類風濕、SLE、硬皮病等心腫瘤性及副蛋白血癥性:淋巴瘤、副腫瘤綜合癥心遺傳性:特發(fā)性及家族性、代謝性心嵌壓性:腕管綜合癥、間盤突出癥周圍神經(jīng)疾病-概述4周圍神經(jīng)疾病-概述發(fā)病機制☆病變使遠端軸突不能得到由神經(jīng)元胞體提供的營養(yǎng)致軸突髓鞘變性即正向運輸障礙心逆向運輸障礙導致軸索再生障礙。周圍神經(jīng)疾病-概述5神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理6神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理7神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理8神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理9神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理10神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理11神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理12神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理13神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理14神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理15神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理16神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理17神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理18神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理19神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理20神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理21神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理22神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理23神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理24神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理25神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理26神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理27神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理28神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理29神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理30神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理31神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理32神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理33神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理34第十五章周圍神經(jīng)疾病(PeripheralNeuropathy)第十五章周圍神經(jīng)疾病35目的要求掌握三叉神經(jīng)痛的臨床表現(xiàn)和治療方法掌握面神經(jīng)炎的臨床表現(xiàn)及其治療方法掌握急性炎癥性脫髓鞘性多發(fā)性神經(jīng)病的臨床表現(xiàn)、診斷和鑒別診斷、治療原則目的要求36周圍神經(jīng)疾病概述三叉神經(jīng)痛特發(fā)性面神經(jīng)炎格林-巴利綜合征周圍神經(jīng)疾病37周圍神經(jīng)疾病-概述病因心特發(fā)性:自身免疫性疾病心營養(yǎng)及代謝性:酒中毒、糖尿病、維生素缺乏。心藥物及中毒:氯霉素、乙胺丁醇、苯妥英鈉等心傳染性及肉芽腫性:麻風、艾滋病、白喉等心血管炎性:類風濕、SLE、硬皮病等心腫瘤性及副蛋白血癥性:淋巴瘤、副腫瘤綜合癥心遺傳性:特發(fā)性及家族性、代謝性心嵌壓性:腕管綜合癥、間盤突出癥周圍神經(jīng)疾病-概述38周圍神經(jīng)疾病-概述發(fā)病機制☆病變使遠端軸突不能得到由神經(jīng)元胞體提供的營養(yǎng)致軸突髓鞘變性即正向運輸障礙心逆向運輸障礙導致軸索再生障礙。周圍神經(jīng)疾病-概述39神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理40神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理41神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理42神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理43神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理44神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理45神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理46神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理47神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理48神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理49神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理50神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理51神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理52神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理53神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理54神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理55神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理56神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理57神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理58神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理59神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理60神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理61神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理62神經(jīng)病學翁三叉神經(jīng)痛面神經(jīng)麻痹課件整理63神經(jīng)病學翁