Diretrizes para abordagem diagnóstica das neuropatias em serviço de referência em doenças neuromusculares

Autores

  • Evandro Penteado Villar Félix Neurologista. Médico do Setor de Investigação e Tratamento de Doenças Neuromusculares da Universidade Federal de São Paulo – UNIFESP, São Paulo-SP, Brasil
  • Acary de Souza Bulle Oliveira Neurologista, Doutor, Professor Afiliado da Disciplina de Neurologia do Departamento de Neurologia e Neurocirurgia e Chefe do Setor de Investigação e Tratamento de Doenças Neuromusculares da Universidade Federal de São Paulo – UNIFESP, São Paulo-SP, Brasil.

DOI:

https://doi.org/10.34024/rnc.2010.v18.8506

Palavras-chave:

Polineuropatias, Diagnóstico Diferencial, Etiologia, Neurofisiologia

Resumo

As neuropatias, frequentemente, desafiam os neurologistas devido aos variados diagnósticos etiológicos. Na maioria dos casos exigem dispendiosos recursos financeiros e de tempo aplicados ao diagnóstico, bem como na escolha de uma abordagem terapêutica eficaz, podendo ocasionar grandes prejuízos à qualidade de vida dos pacientes. Neste artigo, fornecemos uma visão da abordagem diagnóstica aplicada no Setor de Investigação e Tratamento de Doenças Neuromusculares da Universidade Federal de São Paulo (UNIFESP), com o intuito de direcionarmos o raciocínio clínico, com base nos aspectos clínicos e anatômicos individuais de cada paciente.

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...

Referências

Martyn CN, Hughes RAC. Epidemiology of peripheral neuropathy. J Neurol Neurosurg Psychiatry 1997;62:31018.

The Italian General Practioner Study Group. Chronic symmetric symptomatic polyneuropathy in the elderly: a field screening investigation in two Italian regions. I. Prevalence and general characteristics of the sample. Neurology 1995;45:1832-6.

Vallat JM, Magy L. Neuropathies Périphériques: généralités. EMC. Neurologie 2005;2:175-81.

Créange A. Diagnostic dês neuropathies sensitives acquises. Rev Neurol (Paris) 2004;160:363-70.

Rosenberg NR, Portegies P, Visser M, Vermeulen M. Diagnostic investigation of patients with chronic polyneuropathy: evaluation of a clinical guideline. J Neurol Neurosurg Psychiatr 2001;71:205-9.

Hughes RAC. Peripheral neuropathy. BMJ 2002;324:466-9.

Bromberg MB. An Approach to the Evaluation of Peripheral Neuropathies. Semin Neurol 2005;25:153-9.

Dyck PJ, Dyck JB, Grant IA, Fealey RD. Ten steps in characterizing and diagnosing patients with peripheral neuropathy. Neurology 1996;47:10-7.

Kandel ER, Schwartz JH, Jessel TM (Eds). Principles of neural science. 4th edition. New York: Mc-Graw-Hill, 2000, p.19-35.

Manzano GM, Giuliano LMP, Nóbrega JAM. A brief historical note on the classification of nerve fibers. Arq Neuropsiquiatr 2008;66:117-9.

Olausoon H, Lamarre Y, Backlund H, Morin C, Wallin BG, Starck G, et al. Unmyelinated tactile afferents signal touch and project to insular cortex. Nat Neuroscience 2002;5:900-4.

Vallbo AB, Olausson H, Wessberg J. Unmyelinated afferents constitute a second system coding tactile stimuli of the human hairy skin. J Neurophysiol 1999;81:2753-63.

Lacomis D. Small-Fiber Neuropathy. Muscle Nerve 2002;26:173-88.

Barohn RJ. Approach to peripheral neuropathy and neuronopathy. Semin Neurol 1998;18:7.

Nóbrega JAM, Manzano GM. Eletroneuromiografia. In: Manual de Eletroneuromiografia e Potenciais Evocados Cerebrais Para a Prática Clínica. São Paulo: Atheneu, 2007, p.9-49.

Brown WF, Bolton CF, Aminoff MJ (Eds). Neuromuscular Function and Disease – Basic, Clinical, and Electrodianostic Aspects. Philadelphia: W.B. Saunders Company, 2002, p.1017-262.

Charcot J, Marie P. Sue une forme particulaire d’atrophie musculaire progressive souvent familial debutant par lês pieds et lês jamber et atteingnant plus tard lês mains. Rev Med 1886;6:97.

Tooth H. The Peroneal Type of Progressive Muscular Atrophy. London: Lewis, 1886.

Shy ME, Lupski JR, Chance PF, Klein CJ, Dyck PJ. Hereditary Motor and Sensory Neuropathies: An Overview of Clinical, Genetic, Electrophysiologic, and Pathologic Features. In: Dyck JP, Thomas PK (ed). Peripheral Neuropathy 4rd ed.Philadelphia: Elsevier Saunders, 2005, p.1623-58.

Jani-Acsadi A, Krajewski K, Shy ME. Charcot-Marie-Tooth Neuropathies: Diagnosis and Manegement. Semin Neurol 2008;28:185-94.

Reis RG, Oliveira ASB. Drogas e Sistema Nervoso Periférico. Rev Neurocinc 1999; 7:109.

Vital C, Vallat JM. Nerve biopsy is still very useful: a personal view. J Periph Nerv Sys 2008;13:103-4.

Said G. Indications and value of nerve biopsy. Muscle Nerve 1999;22:1617-9.

Argov Z, Steiner I, Soffer D. The yeld of sural nerve biopsy in the evaluation of peripheral neuropathies. Acta Neurol Scand 1989;79:243-5.

Deprez M, Ceuterick-de Groote C, Gollogly L, Reznik M, Martin JJ. Clinical and neuropathological parameters affecting the diagnostic yield of nerve biopsy. J Neuromus Disord 2000;10:92-8.

Vital C, Vital A, Canron MH, Jaffre A, Viallard JF, Ragnaud JM, et al. Combined nerve and muscle biopsy in the diagnosis of vasculitic neuropathy. A 16-year retrospective study of 202 cases. J Periph Nervous Sys 2006;11:20-9.

Bennett DLH, Groves M, Blake J, Holton JL, King RHM, Orrell RW, et al. The use of nerve and muscle biopsy in the diagnosis of vasculitis: a 5 year retrospective study. J Neurol Neurosurg Psychiatr 2008;79:1376-81.

Vrancken AFJE, Jansen GH, Notermans NC, Wokke JHJ, Said G. Progressive idiopatic axonal neuropathy. A comparative clinical and histopathological study with vasculitic neuropathy. J Neurol 2004;251:269-78.

Vallat JM, Tabaraud F, Magy L, Torny F, Bernet-Bernardy P, Macian F, et al. Diagnostic value of nerve biopsy for atypical chronic inflammatory demyelinating polyneuropathy: evaluation of eigth cases. Muscle Nerve 2003;27: 478-85.

Said G. Indications and Usefulness of nerve biopsy. Arch Neurol 2002;59:1532-5.

Schröder JM. Recommendations for the examination of peripheral nerve biopsies. Virchows Arch 1998; 432: 199-205.

Lauria G, Devigili G. Skin biopsy as a diagnostic tool in peripheral neuropathy. Nat Clin Pract Neurol 2007;10: 546-57.

Sommer C, Lauria G. Skin biopsy in the management of peripheral neuropathy. Lancet Neurol 2007;7:632-43.

Downloads

Publicado

2010-03-31

Como Citar

Félix, E. P. V., & Oliveira, A. de S. B. (2010). Diretrizes para abordagem diagnóstica das neuropatias em serviço de referência em doenças neuromusculares. Revista Neurociências, 18(1), 74–80. https://doi.org/10.34024/rnc.2010.v18.8506

Edição

Seção

Revisão de Literatura
Recebido: 2019-02-16
Publicado: 2010-03-31

Artigos mais lidos pelo mesmo(s) autor(es)