Celine dion, a famous singer, has been exposed to stiff syndrome! What kind of disease is this？ Can it be cured？
Qianjiang evening news Hour Journalist He Lina Correspondent Si Jia Qi Ji
On December 8th, Celine Dion, a world-famous singer, shared with her fans that she was suffering from a rare nervous system disease-Stiff Man Syndrome. At that time, fans from all over the world sent their blessings, but in addition to surprise and sigh, many people were curious: What kind of disease is Stiff Man Syndrome?
Therefore, qianjiang evening news Hour reporter specially interviewed Professor Zheng Guoqing, director of the Department of Neurology, Zhejiang Provincial Hospital of Traditional Chinese Medicine.
Image source: vision china
"Stiff man syndrome is a rare disabling autoimmune disease in neurology, characterized by progressive and fluctuating stiffness of muscles in the central axis of the body with paroxysmal spasm." According to Professor Zheng Guoqing, the onset of this disease is mostly acute or subacute, which shows that the trunk muscles or limbs muscles induce myotonic spasms under the conditions of sound, light, touch stimulation and emotional excitement, and each time lasts for several seconds to several minutes.
Stiff person syndrome often occurs in people aged 20-50. Relatively speaking, there are more rural areas and fewer cities. There are more women and fewer men; It is frequent in autumn and winter, stable in spring and summer, and the course of disease is mostly chronic and fluctuating.
Many people will confuse stiff syndrome with gradual freezing, which is obviously different: gradual freezing is a motor neuron disease and belongs to neurodegenerative diseases, while stiff syndrome is related to heredity, virus infection and autoimmune diseases and belongs to autoimmune diseases.
The ratio of stiff person syndrome is rare, and it is difficult to diagnose it in the early stage. The diagnosis basis includes continuous motor unit activity at rest on electromyography, positive serum glutamic acid decarboxylase antibody, effective for antipsychotics, and excluding muscle stiffness and rigidity caused by other neurological diseases. At present, the main treatment methods are to relieve symptoms and regulate the autoimmune process.
Image source: vision china
Professor Zheng Guoqing once treated a female patient, who also developed symptoms in winter, characterized by stiff trunk and limbs, muscle cramps induced by noise, tactile stimulation and emotional anxiety. After repeated diagnosis and treatment, she was finally diagnosed as stiff syndrome. At first, she relied on western medicine to control her symptoms.
Because the patient is young, he is worried that taking medicine for a long time may lead to over-dependence. Later, he specially found Professor Zheng Guoqing, and Professor Zheng Guoqing adopted the method of combining traditional Chinese and western medicine, and achieved very good therapeutic effect.
Zheng Guoqing said that stiff syndrome belongs to the category of "spasm syndrome" in traditional Chinese medicine, and "spasm" is interpreted as "spasm, which is strong and urgent."
Spasm, as the name of the disease, first appeared in Fifty-two Diseases Prescriptions, and its theory was initially formed in Huangdi Neijing, pointing out that "all violent rigidity belongs to wind". It is said in "General Introduction to Epidemic Febrile Diseases, Spasm and Epilepsy" that "the spasticity is called rigidity"-it can be seen that the occurrence of "spasm syndrome" is related to wind evil.
Zhang Zhongjing, a medical sage, classified spasticity into "rigid spasticity" according to the symptoms of sweating without sweating and aversion to cold, and treated it with Pueraria lobata decoction and "soft spasticity", and treated it with Gualou Guizhi decoction. The prescription of antispasmodic decoction (consisting of Pueraria lobata, Radix Paeoniae Alba, Radix Glycyrrhizae, Fructus Chaenomelis, etc.) is effective for a variety of muscle stiffness and rigidity diseases, and can also be used in traditional Chinese medicine such as acupuncture, massage and pulse moxibustion.
At present, there is no specific treatment method for stiff syndrome in western medicine, which mainly focuses on relieving clinical symptoms, such as benzodiazepines, combined individualized rehabilitation treatment, and also includes immunomodulation treatment. In addition, non-drug treatment also includes some physical therapy, massage, hyperthermia, hydrotherapy and so on.
Image source: vision china
"For the stiff syndrome, we don’t have to worry too much. Although there is no very clear treatment standard in the industry at present, the combination of traditional Chinese medicine and western medicine can indeed achieve ideal treatment results." Professor Zheng Guoqing said that in clinical practice, there are many diseases with similar clinical symptoms and signs to the Stiff Man Syndrome, such as tetanus, multiple sclerosis, muscular dystrophy, ankylosing spondylitis, local spinal cord or joint diseases, Parkinson’s disease, axial dystonia and so on, which must be differentiated.
If there is muscle stiffness: the muscles of trunk, abdomen and waist are stiff, which causes the characteristic "protrusion" of the body, accompanied by motor dysfunction, and the muscles of legs are stiff, which leads to abnormal gait; Involve the chest muscles and have difficulty breathing; When facial muscles are affected, there will be wry smile, forced smile or facial expressionlessness, even unclear speech and difficulty swallowing; Increased sweating, eye symptoms (esotropia, nystagmus, supranuclear ophthalmoplegia), anxiety, depression, etc. should be paid great attention to. Please see a doctor in time, clarify the cause and start the next treatment.
This article is an original work of qianjiang evening news. Without permission, it is forbidden to reprint, copy, extract, rewrite and spread the copyright of all works on the Internet. Otherwise, this newspaper will pursue the legal responsibility of the infringer through judicial channels.
Reporting/feedback