Amyotrophic Lateral Sclerosis
ABSTRACT
At this time, Amyotrophic Lateral Sclerosis(ALS) is a very confusing and elusive disorder. While the clinical presentation and diagnosis of ALS dates back to the early 1900’s, with Charcot being the first to scientifically report and document his findings, there simply has not been definitive evidence since that time for the etiology for ALS. This fundamental problem has befuddled the most qualified researchers and its ensuing answer has eluded the most clever experiments for some 80 years.
This paper is being written to address some of the most plausible candidate causes which have come to the forefront of ALS research in the last few years. This paper will also try to tackle the formidable task of possibly uniting some of the findings and results of experiments from all over the world in the last 4 years. While an exact, definitive etiology, treatment, or answer is not possible at this time, there does seem to be a few underlying trends and findings that have reinforced their own importance. These are the findings that will be evaluated and will hopefully act as a genesis for, perhaps a premature, minimally complete conclusion of the available pool of knowledge that has been amassed on ALS. In addition to this, possible treatment, including pharmacological intervention, will be reviewed.
INTRODUCTION
ALS is a disease of the skeletal muscular motor neurons throughout the nervous system that usually affects both upper and lower motor neurons. The progressive wasting and weakness of muscles that have lost their nerve supply is a characteristic sign of lower motor neuron damage; signs of spasticity and exaggerated reflexes are indications of damage to the upper motor neur...
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Multiple sclerosis (MS) is a disease affecting the myelination of the central nervous system, leading to numerous issues regarding muscle strength, coordination, balance, sensation, vision, and even some cognitive defects. Unfortunately, the etiology of MS is not known, however, it is generally thought of and accepted as being an autoimmune disorder inside of the central nervous system (Rietberg, et al. 2004). According to a study (Noonan, et al. 2010) on the prevalence of MS, the disease affects more than 1 million people across the world, and approximately 85% of those that are affected will suffer from unpredictably occurring sessions of exacerbations and remissions. The report (Noonan, et al. 2010) found that the prevalence of MS was much higher in women than in men, and that it was also higher in non-Hispanic whites than in other racial or ethnic groups throughout the 3 regions of the United States that were studied.
There is no cure for ALS at this time and treatment is focused on management of the symptoms, involving a combination of physical therapy, occupational therapy, and speech, respiratory, and nutritional therapies. Moderate exercise may help maintain muscle strength and function. Drugs can also treat excessive saliva and drooling, and speech therapy can help compensate for loss of muscular control of the mouth. As the disease progresses and muscular degeneration spreads throughout the body, various devices may provide support, such as ankle braces, neck collars, reclining chairs, wheelchairs, and hospital beds. Respiratory support and feeding tubes are required when the person loses cont...
Amyotrophic Lateral Sclerosis is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. Amyotrophic Lateral Sclerosis is better known as ALS or Lou Gehrig’s disease. Amyotrophic Lateral Sclerosis was not brought to International or national attention until Famous New York Yankees baseball player, Lou Gehrig, was diagnosed with it in 1939. Jon Stone, the writer and creator of Sesame Street, was also diagnosed with Amyotrophic Lateral Sclerosis. Amyotrophic Lateral Sclerosis is very deadly and it physically handicaps a person as it progresses. There are two types of Amyotrophic Lateral Sclerosis, Sporadic and Familial. Sporadic is the most common cause in some cases and Familial is inherited, which is rare. Amyotrophic Lateral Sclerosis is one of the most aggressive muscular atrophy disorders, it has many signs and symptoms, and it can be treated but cannot be cured.
ALS is led to mean no muscle nourishment. When a muscle has no nourishment, it atrophies or wastes away hence the name. In addition to this, lateral shows the areas in a person's spinal cord where part of the nerve cells that signal and control the muscles are located. As this area degenerates, it leads to scarring or hardening (sclerosis) in this particular region.
The industry rapidly establishes consumerism in Americans. For instance, Disney since the age of three drives children to own collections of films and merchandise in order to fulfill satisfaction in the idealistic fairytale living. Americans do not realize these material goods are not necessarily important, instead, it becomes a routine of material objects to have a sense of completeness; these buying habits are perpetual. America is now defined as materialistic rather than over-consumption. People deliberately purchase material goods constantly and frequently without needing it. Shopping has become a lifestyle, there is no appreciation or sense of value to what we own, and instead it is depicted and seen as a “retail therapy.” The consumption of materialistic goods is what makes America feel happy and complete.
According to this experiment, it is clear that C. perfringens has specificity toward CNS epithelial cells and white matter. It is further studied that EXT binds to retinal vessels and myelin in the cranium.
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Multiple Sclerosis (MS) is a complicated chronic deteriorating disease that has an effect on the central nervous system (CNS). This disease causes destruction of the myelin around the nerve fibers. “The exact etiology of Multiple Sclerosis is unknown; however, it is thought to be an immune mediated disease. MS is characterized by CNS inflammation, demyelination, and axonal loss” (Compston & Coles, 2008). Typically, it is described by early relapses and remissions of neurological signs of the CNS. This is known as relapsing-remitting MS (RRMS). MS can be identified by a variety of known risk factors. Multiple Sclerosis can be brought on by a mixture of inherited and environmental risk factors such as smoking or an exposure to a virus like Epstein Barr. The inflammatory process has an interesting role on the central nervous system.
In this essay, the disease Multiple Sclerosis (MS) will be reviewed. This piece of work will lay emphasis on the pathophysiological, psychosocial, economic and cognitive effects it has on the individual, family and society. It will also make mention of how a professional nurse would support the individual, the family/carer, the nursing process and the professional role of the nurse according to the Nursing and Midwifery Council (NMC) code of conduct which sets a standard for all nurses and midwives (NMC, 2008) . It has been chosen because this chronic disorder is quite prevalent in the UK.
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Medical history has been filled with an array of diseases and illnesses, ranging from the common cold to deadly killers. Some are easily treatable and others can be terminal, but some of the worst are those that still remain without a cure; one such disease is amyotrophic lateral sclerosis.
Medicine.yale.edu. (2014). Amyotrophic lateral sclerosis (als) > neurology | yale school of medicine. [online] Retrieved from: http://medicine.yale.edu/neurology/divisions/neuromuscular/als.aspx [Accessed: 9 Jan 2014].
These microglial cells then induced inflammation in the cerebellum, which resulted in the learning and coordination problems (Rettner para.5). Considering it is nearly impossible to test for the drug it poses a control problem.
With motor neurone disease it attacks the nerves, in the brain and spinal cord. This means messages gradually stop reaching muscles, which leads to weakness and wasting. In the case study the
This is a neurodegenerative disease, meaning it results in progressive loss or death of neurons. It often starts off with effecting simple motor skills like writing and holding things, after a few months usually patients start losing the ability to walk, talk, or move any of their limbs. Although the brain trauma is what causes it, ALS has little-no-effect on the brain. This fatal disease is typically diagnosed around age 60 and most patients are given about 3-5 years to live after being diagnosed. It has been found that 10% of cases are shown as genetic. It was brought to attention that athletes were beginning to get diagnosed with ALS at a younger age than most. After extensive research in the early 2000’s, Brain Analyst, Dr. Mckee ran tests and finally came to the conclusion that the toxic proteins in the brains of ALS patients were coming from repeated blows to the head. It was then made evident why so many athletes in contact sports such as football, soccer, boxing, etc… were being diagnosed at such a young age and more frequently than