Patología neurológica en las metabolopatías sistémicas y endocrinas

Resumen La presencia de sintomatologia neurologica en las enfermedades metabolicas sistemicas y endocrinas es relativamente frecuente y variada, siendo la forma mas habitual de aparicion los cuadros de encefalopatia aguda con sindrome confusional y presencia de otros signos neurologicos como temblor, mioclonias o crisis comiciales. Se han descrito numerosas formas de presentacion neurologica (ataxia, polineuropatia, parkinsonismo, asterixis, etc.) que deben ser conocidas por los clinicos para realizar un diagnostico y tratamiento precoz, pues los sintomas neurologicos pueden ser incluso la primera forma de manifestacion clinica de estas metabolopatias. La historia clinica del paciente y la sospecha clinica del medico son las herramientas mas importantes para llegar a un diagnostico certero. Neurological symptomatology is a relatively common feature in patients with systemic and endocrine metabolic diseases. Commonly appears as acute encephalopathy accompanied by confusional syndrome, and other neurological symptoms like tremor, myoclonus and seizures. A wide range of neurological presentations has been reported (ataxia, polyneuropathy, parkinsonism, asterixis, etc.). These neurologic symptoms may be the first clinical manifestation in metabolic diseases; thus, in order to carry out an early diagnosis and treatment, their clinical identification is mandatory. The most important tools to achieve accurate diagnosis are clinical history and suspicion.

• Publication year

  2019

• Venue

  Medicine - Programa de Formación Médica Continuada Acreditado

• Publication date

  2019-04-01

• Fields of study

  Not labeled

• Identifiers
  DOI 10.1016/J.MED.2019.05.003
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

• Hepatic encephalopathy: Diagnosis and management

  2018cited by this paper
• Patología neurológica en metabolopatías hereditarias y adquiridas

  2015cited by this paper
• Deep coma and diffuse white matter abnormalities caused by sepsis-associated encephalopathy.

  2013cited by this paper
• Patología neurológica de las enfermedades tóxico-metabólicas

  2011cited by this paper
• Toxic and Metabolic Encephalopathies

  2009cited by this paper
• Wernicke's encephalopathy: new clinical settings and recent advances in diagnosis and management.

  2007cited by this paper
• Acute encephalopathies

  2006cited by this paper
• Magnetic resonance imaging abnormalities with septic encephalopathy

  2004cited by this paper
• Encefalopatías metabólicas adquiridas

  2003cited by this paper
• Etiology and Management of Delirium

  2003cited by this paper
• Pathophysiology of septic encephalopathy: A review

  2000cited by this paper
• Metabolic encephalopathies.

  1996cited by this paper
• Uremic encephalopathy.

  1994cited by this paper
• The management of medical coma.

  1993cited by this paper
• The neurological complications of sepsis

  1993cited by this paper
• Neurological Complications of Systemic-Disease

  1990cited by this paper

• No citing papers are available for this paper.