{"id":78,"date":"2017-02-24T12:58:45","date_gmt":"2017-02-24T12:58:45","guid":{"rendered":"http:\/\/neurous.dk\/?page_id=78"},"modified":"2018-05-09T08:31:07","modified_gmt":"2018-05-09T08:31:07","slug":"trofik","status":"publish","type":"page","link":"https:\/\/neurous.dk\/?page_id=78","title":{"rendered":"TROFIK OG FASCIKULATIONER"},"content":{"rendered":"<p><strong>Unders\u00f8gelse<\/strong><br \/>\nInspektion af muskelkonturerne eller muskelfylde mellem f.eks. knogler i h\u00e5nd. Overarms-, l\u00e5r- og crusmuskulatur egner sig til omfangsm\u00e5ling med m\u00e5leb\u00e5nd for at vurdere og objektivisere fundene. Samtidigt med vurdering af muskeltrofikken inspiceres musklerne for fascikulationer (uregelm\u00e6ssige kontraktioner i skiftende sm\u00e5 dele af musklen uden bev\u00e6gelser af led). Fascikulationer uden atrofi eller kraftneds\u00e6ttelse er som regel benigne.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/206229797?app_id=122963\" width=\"1440\" height=\"810\" frameborder=\"0\" title=\"Venstresidig muskelatrofi i overekstremiteten\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/p>\n<blockquote><p>Bem\u00e6rk instabilitet af ve. scapula ved fremadf\u00f8ring af armene.<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/223777434?app_id=122963\" width=\"480\" height=\"360\" frameborder=\"0\" title=\"Fascikulationer\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/p>\n<blockquote><p>Fascikulationer hos en patient med ALS.<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/268736478?app_id=122963\" width=\"626\" height=\"360\" frameborder=\"0\" title=\"Benigne fascikulationer\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/p>\n<blockquote><p>Eksempel p\u00e5 benigne fascikulationer hos 30-\u00e5rig mand uden atrofi i benene i fem \u00e5r.<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<p><strong>\u00c5rsager til atrofi<\/strong><br \/>\n<em>Generel muskelatrofi<\/em> ses ved bl.a. emaciatio, ved generaliseret neurogen atrofi (ALS, CIDP), langvarig myasthenia gravis, polymyositis, spinale muskul\u00e6re atrofier, Kennedys syndrom.<\/p>\n<p>\u00c5rsager til<em> lokaliseret muskelatrofi<\/em> kan ofte sk\u00e6lnes ved lokaliteten. Tungeatrofi (ALS, hypoglossusparese fx ved proces p\u00e5 basis cranii og carotisdissektion,), biceps (C5-C6), thenar (m.abduktor pollicis (n. medianus, l\u00e6sion af C8-Th1 )), 1. insterstits i h\u00e5nden (adduktor pollici,s,(n. ulnaris, C8-Th1) ), sm\u00e5 h\u00e5ndmuskler (n.ulnaris, C8-Th1) , . m.quadiceps femoris (n.femoralis, L3-L4), mm. tibialis anterior og triceps surae (crus) (L5-S2), m. extensor digitorum brevis p\u00e5 fodryg (n. peroneus profundus, L5), fokale atrofier ved ALS (oftest distalt i h\u00e5nd eller fod) og champagneben (Charcot-Marie-Tooth neuropati).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Unders\u00f8gelse Inspektion af muskelkonturerne eller muskelfylde mellem f.eks. knogler i h\u00e5nd. Overarms-, l\u00e5r- og crusmuskulatur egner sig til omfangsm\u00e5ling med m\u00e5leb\u00e5nd for at vurdere og objektivisere fundene. Samtidigt med vurdering af muskeltrofikken inspiceres musklerne for fascikulationer (uregelm\u00e6ssige kontraktioner i skiftende sm\u00e5 dele af musklen uden bev\u00e6gelser af led). Fascikulationer uden atrofi eller kraftneds\u00e6ttelse er somContinue reading &rarr;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-78","page","type-page","status-publish","hentry","no-thumb"],"_links":{"self":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/78","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neurous.dk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=78"}],"version-history":[{"count":25,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/78\/revisions"}],"predecessor-version":[{"id":900,"href":"https:\/\/neurous.dk\/index.php?rest_route=\/wp\/v2\/pages\/78\/revisions\/900"}],"wp:attachment":[{"href":"https:\/\/neurous.dk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=78"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}