Central nervous system manifestations in rheumatic diseases.

Autor: Smiyan S; 2nd Department of Internal Medicine, Ivan Horbachevsky Ternopil National Medical University, Ternopil, Ukraine., Komorovsky R; 2nd Department of Internal Medicine, Ivan Horbachevsky Ternopil National Medical University, Ternopil, Ukraine. komorovsky@tdmu.edu.ua., Koshak B; 2nd Department of Internal Medicine, Ivan Horbachevsky Ternopil National Medical University, Ternopil, Ukraine., Duve K; Department of Neurology, Ivan Horbachevsky Ternopil National Medical University, Ternopil, Ukraine., Shkrobot S; Department of Neurology, Ivan Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.
Jazyk: angličtina
Zdroj: Rheumatology international [Rheumatol Int] 2024 Oct; Vol. 44 (10), pp. 1803-1812. Date of Electronic Publication: 2024 Aug 13.
DOI: 10.1007/s00296-024-05679-1
Abstrakt: As the role of neurologists in managing patients with rheumatic diseases expands, collaboration between rheumatologists and neurologists becomes increasingly vital. This literature review provides an overview of the central nervous system (CNS) manifestations of major autoimmune rheumatic disorders, which may include parenchymal brain and meningeal disease (stroke, meningoencephalitis, meningitis), myelopathies, psychosis, chorea, seizure disorders, and various forms of cephalea. Novel findings linking specific autoimmune markers to CNS damage reveal a direct, previously underestimated link between systemic inflammation and neural injury. Besides, with the increasing use of biological therapies, it is crucial to recognize when neurological manifestations are related to adverse events of therapy, as this may significantly influence treatment decisions. Neurologists play a key role in this assessment, working closely with rheumatologists. Overall, addressing CNS involvement in rheumatic diseases is important for improving patient outcomes and advancing medical knowledge in this complex field. A thorough understanding of the neurologic aspects of rheumatic diseases is essential for optimal patient care, necessitating a multidisciplinary approach to management.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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