Rheumatism of the nervous system

One of the manifestations of diffuse lesions of vascular system and capillarisation structures rheumatism is neurotraumatism that occupies the frequency third place after the defeat of the heart and joints (centuries Mikheev, 1960). His wide range of clinical manifestations is primarily determined by the predominant localization, degree of activity and the nature of the flow of vascular rheumatic process. There is no doubt that inflammation is not the only pathogenetic factor. The experience of clinical-morphological study of small horei, mental, hypothalamic disorders, rheumatism allows to speak about the significant role of direct toxic-allergic effect on the nervous structures with individual and apparently hereditary sensitivity to these influences. In addition, it must be borne in mind that certain structures of the nervous system as a body of the Central regulation are in the process of developing rheumatic fever is especially important functional load. The last circumstance can't help influencing the preferential localization and character of damage to the nervous tissue rheumatism. Finally, do not exclude the possibility of emergence and immunopathological mechanism of neural structures in patients with chronic rheumatic lesions of nervous system.
Morphologically detected a high rate of involvement of the vessels of the Central and peripheral nervous system not only when clinically detectable neurological symptoms, but in its absence. Rheumatic capillarity, vasculitis, thrombovascular in its histomorphologically picture does not differ from the defeat of vessels of other areas. Characterized by a combination of diffusely and focality of rheumatic lesions of the cerebrovascular system with Unsharp pronounced spilled and harder, causing the focal pathology inflammatory changes of the vascular wall.
Thus, when neurotraumatism we can talk about: 1) the rheumatic vasculitis one or other preferential localization (acute, subacute, chronic meningitis, meningoencephalitis, encephalitis cortical, subcortical localization, encephalomyelitis, meningomyelitis, myelitis, rheumatic neuritis, polyradiculitis), including thrombosis, bleeding, neurodynamic small strokes and other consequences of inflammatory vascular lesions of nervous system;
2) lesions of the nervous system, caused by toxico-infectious, dysmetabolic effects and the defeats mixed Genesis. These clinical forms of neurotraumatism we believe it is necessary to include rheumatic Hereu and other types of hyperkinesia in rheumatoid arthritis, symptoms of Parkinson's disease, epileptiformnye syndromes ("rheumatic epilepsy"), hypothalamic syndrome, acute and protracted rheumatic psychosis and manifest symptoms of asthenia, vegetative lability rheumatic encephalopathy.
Below we will focus on the brief description of the clinical forms of neurotraumatism most frequently encountered in the practice of physician-rheumatologist. These include small (rheumatic) horey, hypothalamic syndrome of rheumatic origin and rheumatic encephalopathy.