Author/Editor		Hoefferle-Felc, Alenka
Title		Utesnitvene nevropatije - pregled področja
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 4, št. 1-2
Publication year		2005
Volume		str. 6-10
Language		slo
Abstract		The article states the definction of entrapment neuropathies, making difference between compression and true entrapment neuropathies. Peripheral nerve lesions are caused by mechanical force, acting as external or internal pressure and, consequently, by ischaemia. In certain circumstances, as in case of some disease or effects of systemic noxious substances the nerves are more vulnerable. It depends on the amount and duration of pressure, whether the lesion will be acute or chronic, reversible or irreversible. Symptoms and signs of the nerve lesion can be positive - as a conseguence of nerve stimulation, or negative - as a consequence of functional defficiency. They can be observed in the domaine of motor, sensor, as well as autonomic function. Diagnostics is based upon careful anamnesis, symptoms and signs, wheras EMG and radiology are merely of additional help. Differential diagnosis should also be considered. The treatment can be radical or paliative, surgical or conservative.
Summary		Pričujoči sestavek podaja definicijo utesnitvenih nevropatij, in razlikuje med kompresijskimi in utesnitvenimi nevropatijami v ožjem pomenu besede. Okvara živca nastane zaradi mehanske sile, ki nastopa kot zunanji ali notranji pritisk, ter posledične ishemije. V določenih okoliščinah - pri nekaterih boleznih ali delovanju sistemske škodljivosti - so živci ranljivejši. Od velikosti in trajanja pritiska je odvisno, ali bo okvara živca akutna ali kronična, reverzibilna ali ireverzibilna. Simptomi in znaki za okvaro živca so pozitivni - posledica draženja živca, ali negativni - posledica funkcionalnih izpadov. Opažamo jih na področju motorike, senzorike in avtonomnega živčevja. Diagnostika temelji na skrbni anamnezi in klinični sliki, elektrofiziološke in radiološke preiskave pa so le dopolnilne diagnostične metode. Pri tem je treba upoštevati tudi diferencialnodiagnostične možnosti. Zdravljenje je lahko radikalno ali paliativno, kirurško ali konzervativno.
Descriptors		NERVE COMPRESSION SYNDROMES DIAGNOSIS, DIFFERENTIAL