What Is Neurological Impairment?

The patient's main complaint resembled a disease in a system or organ, but the test was negative. Often accompanied by non-specific subjective discomfort, such as transient transient and migratory pain, burning, numbness, etc., and local visceral transient discomfort, such as bloating, falling, etc. Often related to psychosocial factors, narrative symptoms are noticeable and sympathetic, and chronic patients often have complaints. It includes autonomic neurosis, cardiac neurosis, gastric neurosis, organ neurosis and neurocirculatory weakness, but does not include psychosomatic diseases and any psychosomatic diseases with organic changes.

The patient's main complaint resembled a disease in a system or organ, but the test was negative. Often accompanied by non-specific subjective discomfort, such as transient transient and migratory pain, burning, numbness, etc., and local visceral transient discomfort, such as bloating, falling, etc. Often related to psychosocial factors, narrative symptoms are noticeable and sympathetic, and chronic patients often have complaints. It includes autonomic neurosis, cardiac neurosis, gastric neurosis, organ neurosis and neurocirculatory weakness, but does not include psychosomatic diseases and any psychosomatic diseases with organic changes.

Chinese name

Neurological dysfunction

Foreign name

nervous functioning disorders

Causes of neurological disorders and common diseases:

(1) Cause:

After the stroke, the high central depression is weakened, and the afferent stimulation of the spinal cord plane is abnormal, resulting in neurological abnormalities.

(Two) clinical manifestations:

1. Pain and sensory disorders: pain is episodic or persistent, with exacerbation, heavier at night, emotional fluctuations, physical labor, weather changes and cold stimuli can all make the pain worse, the range is more diffuse, and there is widespread spread trend. Tenderness may appear in the projected area of the damaged sympathetic ganglia, and it is often helpful to locate the diagnosis if a tender point is found. A variety of paresthesias can occur, such as numbness, ant-like sensation, etc. The objective paresthesia is lighter than the subjective symptoms, most of which are abnormal pain, temperature sensations are rare, and tactile and deep sensations are rare.

2. Changes in skin and appendages: The skin may show irritating symptoms, such as increased sweating and increased standing hair reflexes; or symptoms of functional loss, such as decreased skin conductivity, decreased sweating, and decreased standing hair reflexes. In addition, nutritional disorders, dry atrophy, hair loss, and brittle nails can occur on the skin.

3. Vascular dysfunction: mainly manifested as spasm of small arteries and capillaries, hypotension may occur, and even paralysis may occur, as well as somatic nerve dysfunction.

Differential diagnosis of neurological dysfunction :

Neurological changes include significant increases in heart rate, respiratory rate, body temperature, blood pressure, and sweating; changes in the motor system include de-brained or de-cortexed postures, decreased muscle tone, rigidity, and cramps.

Some scholars believe that the diagnosis of neurological dysfunction after brain injury must meet body temperature> 38.5 , respiration> 20 / min, pulse rate> 130 / min, cognitive function on the cognitive function scale , and the appearance of Seven manifestations including abnormal sweat and muscle tone, once a day for more than 3 days, and exclude other diseases. Some scholars believe that this standard is too strict and can easily lead to missed diagnosis, and 4 of 7 performances should be considered as neurological dysfunction.

wing Neural Dysfunction Wing Test:

Also known as the standard cardiovascular reflex test, it measures neurological function by changing heart rate, blood pressure, and other methods. It is a more classic detection method. Among them, the breathing difference, Valsalva movement index, and heart rate changes in the upright position are mainly mediated by parasympathetic nerves. Orthostatic blood pressure changes and grip strength experiments reflect sympathetic nerve function. A normal score of 1 point, a critical 0.5 point, and an abnormal -1 point were calculated; the total score was calculated based on the measurement points, and the total score 2 was defined as neuropathy.

Principles of Neurological Dysfunction Treatment:

1. Patients with acute episodes in acute phase and chronic phase need bed rest, and more activities should be avoided in the damaged area, and corresponding measures can be taken as soon as possible in accordance with the pathogenic factors.

2. Drug treatment is mainly symptomatic treatment and improvement of metabolism. It is considered that sympathetic ganglion closure therapy is one of the most effective methods for treating this disease, and can be used in the acute and subacute phases. Various vitamin treatments can be applied, large doses of vitamin B ₁₂ l000ug, intramuscular injection, once a day, usually can relieve pain.