- Plexitis symptoms
- Plexitis reasons
- Treatment of the Plexitis
Plexitis — defeat of the neuroplex formed by front branches of spinal nerves; it is characterized by sensitive, motive and trophic frustration.
Clinically the plexitis is characterized by motive, sensitive and vegetative and trophic frustration. Defeat of a texture happens total, or partial at which only separate trunks, bunches and branches are damaged. The plexitis can be unilateral and bilateral.
During a plexitis allocate two stages — neuralgic and paralytic. In a neuralgic stage the spontaneous pains amplifying at the movements or a prelum of a texture are noted. In a paralytic stage peripheral paresis and paralyzes of the muscles innervated by branches of the struck texture develop, the corresponding deep reflexes decrease, all types of sensitivity and a trophicity in an innervation zone are broken that is shown by pastosity, puffiness, vasculomotor frustration, etc.
At defeat of a cervical plexus of pain extend to occipital area, paresis of deep muscles of a neck and a diaphragm develops. As a result of irritation of a phrenic nerve the hiccups appears.
At defeat of a brachial plexus of pain are localized in over - and subclavial areas, irradiate in a hand. Muscles of a shoulder girdle and an upper extremity are surprised, deep reflexes on an upper extremity decrease or disappear. Vegetative and trophic frustration in the form of cyanosis or pallor of a hand, pastosity of a brush, perspiration, disturbance of a trophicity of nails, etc. develop.
The plexitis of a lumbosacral texture is characterized by sensitive, motive and vegetative and trophic frustration in an innervation zone. Pains are localized in a waist and in a leg. Paresis of muscles of a hip, shin and foot, an atrophy of these muscles, pastosity of foot and a shin, trophic disturbances of nails are observed.
Can be infectious (at flu, tuberculosis, a brucellosis, etc.), infectious and allergic (for example, a postvaccinal plexitis), intoksikatsionny (as a result of poisoning with lead, arsenic, carbon monoxide, alcohol, etc.), traumatic (owing to gunshot, knife and other wounds), compression and ischemic (at a texture prelum fragments of bones at a change, a tumor, infiltrate, etc.).
Treatment of the Plexitis:
Treatment can be carried out on an outpatient basis, in hard cases — in the conditions of a hospital. At infectious plexites carry out antiinflammatory therapy, apply soothing, dehydrating means, physiotherapeutic procedures (an ionophoresis with novocaine solution, diadynamic currents, amplipulsetherapy), novocainic blockade. After removal of the acute phenomena appoint physiotherapy exercises, massage, a balneoterapiya, B1 and B12 vitamins; at paresis — antikholinesterazny means (прозерин, Galantaminum), ATP, a lidaza, nootropic drugs. Carry similarly out treatment of infectious and allergic and intoksikatsionny plexites. At traumatic plexites, and also at compression processes (cervical edges, tumors, fractures of vertebras, clavicles, aneurisms of arteries) carry out operational treatment for the purpose of elimination of a prelum and recovery of conductivity of branches of a texture. At a chronic current of a plexitis sanatorium treatment (radonic, hydrosulphuric bathtubs, mud applications) is shown.
The forecast at timely begun and intensive treatment favorable.