| Popis: |
Not all gastrointestinal and hepatic maladies present with symptoms are easily attributable to the digestive tract and liver, such as malabsorption, diarrhea, or jaundice. Rather, many such diseases have protean manifestations including rheumatological, dermatological, and for this chapter, neurological. Neurological symptoms in conditions like pernicious anemia and B 12 deficiency may, coincide with, develop after, or occur in the complete absence of gastrointestinal or hepatic symptoms. Therefore, it is critical for the physician to be aware of the neurological issues likely to arise in treating digestive disease patients and of the possibility of making a diagnosis of a gastrointestinal or hepatic illness in the neurological patient. Studying the scientific basis of the overlap between digestive and nervous system diseases may also lend insight into the primary etiology of idiopathic neurological disease in general. This chapter indicates that digestive diseases may have protean neurological manifestations. An awareness of these manifestations is critical when performing neurological consultation in patients with or without a known history of gastrointestinal or hepatic disease because the neurological symptoms may dominate or precede digestive symptoms. Further study of the connections between the digestive and nervous systems, which is clearly required, may also lend insight into and better understanding of the etiology of idiopathic neurological diseases in general. |
