Clinic disorders of the peripheral nervous system

Works on the peripheral nervous system in children and adolescents as a result of alcohol intoxication, no. Our long-term observations indicate that the clinical manifestations of a number of disorders of this system will run exactly the same as in adults.
One of the first and earliest and most common types of neurological lesions - alcoholic polyneuropathy. The pattern of damage to the nerves do not inflammatory, and intoxication. Signs of PN found in 20 - 30% of patients with alcoholism. The clinical picture is manifested by the following symptoms: feeling of crawling, numbness, tightening of the muscles pulling, burning pain, tingling, weakness in the limbs ("legs"), tonic convulsions. Feeling localized mainly in the distal parts of the hands and feet, but more often they are more pronounced in the legs. This marked disorders of deep sensitivity, paresis distal departments, the lack of Achilles (80-90%) and knee (50%) of reflexes. A significant portion of patients affected only personalna group of muscles, causing muscles atrophy of the Shin, down the tone, you receive pateticheskaya gait. In addition sensitive and movement disorders, there are also nutritional disorder - swelling, rash, sores.
D. K. Bogorodskii, I. G. Selivanov (1974) there are two groups of neurological complications of alcoholism: the first - alcoholic polyneuritis predominantly motor or sensory disorders, polyradiculoneuritis and mononeuritis (damage to the radial nerve - intoxication-ischemic neuritis, damage of the optic nerve - retro-bulbar toxic neuritis); the second-alcoholic encephalopathy Gaye-Wernicke - Korsakoff - a combination of psychopathology (insomnia, delirium, anxiety, agitation) and neurological (dysarthria, reflexes oral automatism, pyramid failure, hyperkinesia, atetoz, nystagmus, ataxia) disorders. The composition of the liquor in the norm and at the autopsy revealed a plethora of the brain, proliferation of blood vessels, bleeding in the ventricular system; alcoholic myelopathy (ascending paralysis Landry) and cerebellar ataxia.
G. I. Zhirnova (1980) causes the following clinical symptoms of polyneuropathy - parestesia, convulsions in the gastrocnemius muscles, upset deep sensitivity, muscle atrophy of the Shin with signs denervation. C. A. Karimov (1974) distinguishes polyneuritises and convulsive syndrome, a disorder of cerebral circulation, acute alcohol encephalopathy, atactic syndrome, chronic alcohol encephalopathy.
The literature describes retro-bulbar neuritis in alcoholism found in combination with other encephalopathies, or in isolation. The main symptom is a violation of the Central vision-colored objects. In the fundus observed blanching disk of optic nerve. Under the influence of treatment after discontinuation of alcohol intoxication occurs reverse development, but symptoms may persist for years (Kitaev A. K. and others, 1983).
We watched the patient M, 15 years old, student of the 9th grade. According to relatives of the victim alcohol is not abused. 3 days before seeking medical attention at the wedding with three other teenagers drank one bottle of vodka. Two earlier alcohol used, the patient M drank for the first time, and to establish accurately the number taken alcohol may not. Waking up in the morning, he found that the right hand operates bad and not unbent, the left is functioning normally.
Such peripheral violations occur quite often. Prolonged pressure head while sleeping on the vessels situated on the inner surface of the humerus, causes dysfunction of peripheral vessels and hypoxia in the nerve trunks, which leads to development paralysis of the radial nerve. With proper treatment such paralysis function of a limb is completely restored.