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Critical Care Management of Amyotrophic Lateral Sclerosis Cases

Year 2009, Volume: 16 Issue: 2, 131 - 134, 01.04.2009

Abstract

Amyotrophic lateral sclerosis (ALS) is a progressive, neurodegenerative disease caused by the degeneration of motor neurons, including medulla spinalis, cerebellum and motor cortex of central nervous system that control voluntary muscle movement. The disease usually does not affect cognitive abilities, but makes muscle weakness, difficulty in swallowing and chewing especially breathing. Here in, we report the critical care management of three ALS case with pneumonia and severe respiratory distress. Key words: Amyotrophic Lateral Sclerosis, Motor Neuron Disease, Critical Care, Pneumonia

References

  • Brown RH. Adult and juvenile Amyotrophic Lateral Sclerosis and related motor neuron diseases. Eds: Engel AG, Armstrong CF. In: Myology, McGraw-Hill; 2004:1865-88.
  • Sarchielli P, Pelliccioli GP, Tarducci R, et al. Magnetic resonance imaging and 1H-magnetic resonance spectroscopy in amyotrophic lateral sclerosis. Neuroradiology 2001;43: 189-197.
  • Beal MF. Mitochondria, free radicals, and neurodegeneration. Curr Opin Neurobiol. 1996;6(5):661-6. Review.
  • Bowen BC, Pattany PM, Bradley WG, et al. MR imaging and localized proton spectroscopy of the precentral gyrus in ALS. Am J Neuroradiol. 2000;21(4):647-58.
  • Bensimon G, Lacomblez L, Meininger V. A controlled trial of riluzole in amyotrophic lateral sclerosis. N Engl J Med. 19943;330(9):585-91.
  • Phukan J, Hardiman O. The management of amyotrophic lateral Sclerosis. Review. J Neurol 2009; 256:176–86
  • 7.Lechtzin N; Rothstein J; Clawson L; Diette GB, Wiener CM. Amyotrophic lateral sclerosis: evaluation and treatment of respiratory impairment. Amyotroph Lateral Scler Other Motor Neuron Disord. 2002; 3(1):5-13
  • Lo Coco DL, Marchese S, Pesco MC, La Bella V, Piccoli F, Lo Coco A. Noninvasive positive-pressure ventilation in ALS: Predictors of tolerance and survival. Neurology 2006; 67: 761-5
  • Mackin GA. Optimizing care of patients with ALS. Steps to early detection and improved quality of life. Postgrad Med. 1999;105(4):143-6, 151-6.
  • Zuhal Karakurt. Evde mekanik ventilasyon. Yoğun Bakım Dergisi 2004;4: 145-50.

Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi

Year 2009, Volume: 16 Issue: 2, 131 - 134, 01.04.2009

Abstract

Amyotrofik lateral skleroz (ALS) medülla spinalis, beyin sapı ve beynin motor korteksindeki motor nöronların ilerleyici dejeneratif bir hastalığıdır. Bilinç bozukluğu yapmadan yaygın kas güçsüzlüğü, yutma güçlüğü ve özellikle solunum güçlüğü yaratan bir hastalıktır. Bu yazıda ağır solunum yetmezliği ve pnömoniyle yoğun bakımda takip ve tedavi edilen üç ALS tanısı almış olgunun takip ve tedavisi sunulmuştur. Anahtar kelimeler: Amyotrofik Lateral Skleroz, Motor Nöron Hastalığı, Yoğun Bakım, Pnömoni

References

  • Brown RH. Adult and juvenile Amyotrophic Lateral Sclerosis and related motor neuron diseases. Eds: Engel AG, Armstrong CF. In: Myology, McGraw-Hill; 2004:1865-88.
  • Sarchielli P, Pelliccioli GP, Tarducci R, et al. Magnetic resonance imaging and 1H-magnetic resonance spectroscopy in amyotrophic lateral sclerosis. Neuroradiology 2001;43: 189-197.
  • Beal MF. Mitochondria, free radicals, and neurodegeneration. Curr Opin Neurobiol. 1996;6(5):661-6. Review.
  • Bowen BC, Pattany PM, Bradley WG, et al. MR imaging and localized proton spectroscopy of the precentral gyrus in ALS. Am J Neuroradiol. 2000;21(4):647-58.
  • Bensimon G, Lacomblez L, Meininger V. A controlled trial of riluzole in amyotrophic lateral sclerosis. N Engl J Med. 19943;330(9):585-91.
  • Phukan J, Hardiman O. The management of amyotrophic lateral Sclerosis. Review. J Neurol 2009; 256:176–86
  • 7.Lechtzin N; Rothstein J; Clawson L; Diette GB, Wiener CM. Amyotrophic lateral sclerosis: evaluation and treatment of respiratory impairment. Amyotroph Lateral Scler Other Motor Neuron Disord. 2002; 3(1):5-13
  • Lo Coco DL, Marchese S, Pesco MC, La Bella V, Piccoli F, Lo Coco A. Noninvasive positive-pressure ventilation in ALS: Predictors of tolerance and survival. Neurology 2006; 67: 761-5
  • Mackin GA. Optimizing care of patients with ALS. Steps to early detection and improved quality of life. Postgrad Med. 1999;105(4):143-6, 151-6.
  • Zuhal Karakurt. Evde mekanik ventilasyon. Yoğun Bakım Dergisi 2004;4: 145-50.
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Türkan Toğal This is me

Mustafa Said Aydoğan This is me

Kalender Karahan This is me

Ali Şener This is me

Muharrem Uçar This is me

M Özcan Ersoy This is me

Publication Date April 1, 2009
Published in Issue Year 2009 Volume: 16 Issue: 2

Cite

APA Toğal, T., Aydoğan, M. S., Karahan, K., Şener, A., et al. (2009). Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi. Journal of Turgut Ozal Medical Center, 16(2), 131-134.
AMA Toğal T, Aydoğan MS, Karahan K, Şener A, Uçar M, Ersoy MÖ. Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi. J Turgut Ozal Med Cent. April 2009;16(2):131-134.
Chicago Toğal, Türkan, Mustafa Said Aydoğan, Kalender Karahan, Ali Şener, Muharrem Uçar, and M Özcan Ersoy. “Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi”. Journal of Turgut Ozal Medical Center 16, no. 2 (April 2009): 131-34.
EndNote Toğal T, Aydoğan MS, Karahan K, Şener A, Uçar M, Ersoy MÖ (April 1, 2009) Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi. Journal of Turgut Ozal Medical Center 16 2 131–134.
IEEE T. Toğal, M. S. Aydoğan, K. Karahan, A. Şener, M. Uçar, and M. Ö. Ersoy, “Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi”, J Turgut Ozal Med Cent, vol. 16, no. 2, pp. 131–134, 2009.
ISNAD Toğal, Türkan et al. “Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi”. Journal of Turgut Ozal Medical Center 16/2 (April 2009), 131-134.
JAMA Toğal T, Aydoğan MS, Karahan K, Şener A, Uçar M, Ersoy MÖ. Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi. J Turgut Ozal Med Cent. 2009;16:131–134.
MLA Toğal, Türkan et al. “Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi”. Journal of Turgut Ozal Medical Center, vol. 16, no. 2, 2009, pp. 131-4.
Vancouver Toğal T, Aydoğan MS, Karahan K, Şener A, Uçar M, Ersoy MÖ. Amyotrofik Lateral Skleroz Olgularında Yoğun Bakım Tedavisi. J Turgut Ozal Med Cent. 2009;16(2):131-4.