Paralisis flacida

Aspectos clínicos para la Vigilancia de Parálisis Flácida Aguda (PAF) Dra. Inés Caro Kahn Neuropediatra Instituto de Salud del Niño Ministerio de Salud

Contenido ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda 1.Objetivo de la Vigilancia ,[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda 2.Definición ,[object Object],[object Object],[object Object],[object Object]

3.Examen neurológico Tono y fuerza muscular lactante Maniobra de tracción Suspensión Vertical Maniobra al borde de la cama POLIO Anormal

Examen neurológico Tono y fuerza muscular Hipotonia global Hipotonia MSD Manobra de Gowers

Examen neurológico Reflejos osteotendinosos ,[object Object],[object Object],[object Object],[object Object],[object Object]

Lesión central vs Periférica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Motoneurona (2da neurona) Asta anterior Motoneurona (2da neurona) Asta posterior POLIOMIELITIS Raíces nerviosas y nervios periféricos Placa mioneural Musculo POLIRRADICULONEURITIS MIASTENIA GRAVIS BOTULISMO MIOPATIAS Parálisis Flácida Aguda Diagnostico topográfico

Parálisis Flácida Aguda Diagnostico Fisiopatológico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Fisiopatológico ,[object Object],Mielitis transversa Encefalomielitis

Parálisis Flácida Aguda Diagnostico Clinico MEDULA ESPINAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Fisiopatológico ,[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Clinico ASTA ANTERIOR DE MEDULA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Poliomielitis- Enterovirus Clinica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Etiológico ,[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Fisiopatológico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Desmielinizacion

Parálisis Flácida Aguda Diagnostico Clinico RAÍCES Y NERVIOS PERIFÉRICOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Síndrome de Guillain Barre Criterios de Asbury: ,[object Object],[object Object],[object Object]

Síndrome de Guillain Barre Criterios de Asbury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Síndrome de Guillain Barre Diagnostico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Síndrome de Guillain Barre ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Etiológico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Clinico NEUROMUSCULAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Miastenia Gravis

Botulismo ,[object Object],[object Object],[object Object],[object Object],[object Object]

Síndrome de Guillain Barre Tratamiento ,[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Clinico MUSCULAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Fisiopatológico ,[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Fisiopatologico ,[object Object],[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Examenes Auxiliares ,[object Object],[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Examenes Auxiliares ,[object Object],[object Object],[object Object]

Parálisis Flácida Aguda Diagnostico Exámenes Auxiliares ,[object Object],[object Object],[object Object],[object Object]

Conclusión Vigilancia Paralisis Flacida ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Caso no captado por el sistema de Vigilancia de PFA: POLIO? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dra. Inés Caro K. 2011

GRACIAS…… [email_address] Instituto de Salud del Niño UNMSM

Paralisis flacida

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