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v. 2 n. 4 (2021)
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I Congresso Brasileiro de Saúde Pública On-line: Uma abordagem Multiprofissional
RELEVÂNCIA DO DIAGNÓSTICO PRECOCE NO CONTEXTO DA SÍNDROME DO PRIMEIRO NEURÔNIO MOTOR
Autores
Caio Vinicius Soares da Silva
Gabriele Lima de Lucena
Tayane Moura Martins
Bruno Ricardo Leite Barboza
Kennedy Da Silva Bezerra
Palavras-chave:
SÍNDROME DO PRIMEIRO NEURÔNIO MOTOR, PARESIA, HIPERREFLEXÃO E EXCITOTOXICIDADE
Resumo
Introdução: A Síndrome do Primeiro Neurônio Motor (SPNM) é o comprometimento do trato piramidal descendente do sistema nervoso central que afeta o funcionamento da musculatura esquelética. As manifestações clínicas dessa disfunção são caracterizadas por excitotoxicidade e fraqueza dos membros inferiores. Nesse ensejo, o exame neurológico realizado na primeira consulta clínica, é de fundamental importância para retardar a evolução da SPNM. Objetivo: Identificar de forma precoce os sinais e sintomas da SPNM durante o exame neurológico. Material e métodos: Trata-se de um estudo de revisão narrativa, com viés descritivo e exploratório. Realizada no período de janeiro a fevereiro de 2022. Utilizou para fundamentação teóricas as bases de dados LILACS e a biblioteca SciELO, com associação dos descritores: “Síndrome do primeiro neurônio motor” AND “Síndromes neurológicas ” OR “Excitotoxicidade”, correlacionadas aos operadores booleanos: “AND” e “OR”. Os critérios de inclusão: artigos disponíveis na integra no formato digital nos idiomas português, inglês e espanhol, publicados no recorte temporal de 2014 a 2022. Os critérios de exclusão: revisões, boletins e artigos que não abordassem a temática de estudo. Foram encontrados 75 resultados, sendo 10 foram selecionados para compor o escopo do estudo. Resultados : A SPNM abrange manifestações que impossibilitam a locomoção dos indivíduos com prevalência na faixa etária de 30 aos 60 anos, a qual anualmente acomete 2 a cada 100.000 indivíduos, com maior morbidade no sexo masculino. Durante avaliação clínica é possível criar hipóteses diagnósticas a partir das queixas captadas durante a anamnese e/ou no exame físico neurológico. Avalia-se o primeiro sinal, a marcha, que é classificada em hemiplégica, ataxo-espática ou paretoespástica. Posteriormente, inspeciona-se o paciente, detecta-se alterações tegumentares, nos fâneros, hipertonia, hiperreflexia total, dificuldade de movimentação ativa, passiva e especializada com paresia total ou segmentar. A SPNM manifesta-se com diversos sintomas conforme a patologia ocasionada, tendo médico a responsabilidade de relacionar os achados ao diagnóstico sindrômico e orientar o paciente na busca precoce por tratamento especializado. Conclusão: Portanto, é imprescindível a atuação médica de forma holística sobre o paciente. Tal ação assegura resolubilidade no processo saúde-doença ao paciente com SPNM, haja vista, que o exame neurológico prévio garante um melhor prognóstico.
Como Citar
Silva, C. V. S. da ., Lucena, G. L. de ., Martins, T. M. ., Barboza, B. R. L. ., & Bezerra, K. D. S. . (2022). RELEVÂNCIA DO DIAGNÓSTICO PRECOCE NO CONTEXTO DA SÍNDROME DO PRIMEIRO NEURÔNIO MOTOR. Revista Multidisciplinar Em Saúde , 2 (4), 355. https://doi.org/10.51161/rems/3302
Seção
I Congresso Brasileiro de Saúde Pública On-line: Uma abordagem Multiprofissional
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