23 janeiro 2006

Quadro Clínico

A principal característica do quadro clínico na E.L.A. é a perda da força e da massa muscular. Cada músculo do corpo é afetado de maneira diferente e em momentos diferentes da doença. Em alguns pacientes, os problemas começam com dificuldade para movimentar os dedos da mão, em outros, é o pé que perde a força. Mais raramente, a primeira queixa e fraqueza da musculatura da garganta e da língua, responsáveis pela voz e pelo ato de engolir (que foi o meu caso).
Outro problema que pode ocorrer é a espasticidade, que leva à rigidez muscular e a um aumento da atividade reflexa dos músculos que perderam o controle exercido pelos neurônios motores superiores.
Cãibras, também podem incomodar o portador de E.L.A.
A fasciculação é um queixa freqüente nos portadores de E.L.A., principalmente na região dos ombros e da coxa. Esses movimentos da musculatura são involuntários e resultam da perda do controle dos neurônios inferiores.

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