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TILT-Vaskulitis
The selective
vulnerability of the
Autonomic Nervous
System
and the acquired
neuronal supersensitivity
until the end:
Transverse Myelopathy
The nervous system is integrated with the
vascular, endocrine
and im- munesystem. For the body to respond
properly to pollutant
exposure, these systems must be in balance.
However, in some cases of
chemical and radio-sensitivity, the balance
between these systems
becomes im- paired, and the autonomic (nervous)
system itself becomes the primary target organ
for pollutant injury.
The hypothalamus is the highest vegetative
(autonomic) center in
the brain and is the focal point in triggering
the pollutant-driven
responses seen in the chemically and radio-sensitive patient. It also
has functional connections with the forebrain and
brainstem. When the
hypothalamus is triggered by pollutants, it may
stimulate the
sympathetic and/or the pa- rasympathetic nervous
system, resulting in
extraordinarily varied symp- tomatology.
The key elements in the vulnerability and
acquired neuronal
supersen- sitivity, however, are hypoxia,
hypoglycemia and convulsion,
caused by toxic-induced loss of tolerance.
The cardio-vascular system has a rich autonomic
nervous system
(ANS) supply. To understand early pollutant
injury to this system, one
must also understand the anatomy of the autonomic
as well as the
neuro-en- docrine system.
In the chemically resp. radio-sensitive
individual, for
example, one path of response to pollutant
stimuli may end in cerebral
arterial malfunction with headaches that then
become generalized
cerebral arterial malfunc- tionwith short-term
memory loss and and finally
extend to frank hemi- plegia. Another regional
response might be coronary
spasm with resul- tant angina pectoris, while
another might be renal
arterial spasm with changes in angiotensin and,
thus, blood pressure.
The nervous system response to noxious substances
entering the
body is immediate, with reflex-like rapidity.
This pollutant-triggered
quick respon- se is the clinical response in the
maladapted chemically
sensitive indiviual with overt and florid
symptoms and signs in contrast
to the adapted nor- mal who does not even perceive
the response.
Toxicant-induced injury to the nervous system of
the respiratory
tree can occur in the brain and in the
respiratory center as well as in
the spinal cord, anterior horn cells, peripheral
nerves, and/or the
Autonomic System and neuro-endocrine receptors.
Also vascular
dysfunction of the respiratory tree causes
discomfort and dysfunction in
the individual. Medical misinterpretation leaves
the affected individual
to proceed on a path that eventually may lead to
irreversible fixed-name
disease; e.g. a true ischemic transverse
myelopaty (oedematous swelling
of the cord) is a recognized complication of a
vasculopathy with
proliferative changes involving small blood
vessels, or can occur as a
result in mixed con- nective tissue disease or,
more commonly, in systemic
lupus erythematosus. Transverse myelopathy may be
the first
manifestation of lupus ery- thematosus; the spinal
cord is most vulnerableto damage in the event of an exacerbation of the
underlying disease
("endless backache"). The spinal cord
has remained, until recently, the
Cinderella of the nervous system, receiving
relatively scanty attention.
Quintessenz neuer klinischer Erfahrungen aus
Germany & USA
(Literatur beim Verfasser)
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Aktion Patientensicherheit und Antidiskriminierung, Bayreuth
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