[The problem of fatigue in neurological disorders]

(Problem zmeczenia w chorobach neurologicznych.)

Full Abstract

Fatigue or piercing feeling of weakness, lack of strength and energy or total exhaustion is a common complaint of patients with neurological disorders. From 40 to over 90 per cent of individuals with multiple sclerosis, Parkinson disease, amyotrophic lateral sclerosis, neuroboreliosis, post polio syndrome or stroke confirm its experience. It is not infrequently numbered among most disabling complaints. A separate entity, with fatigue as a cardinal sign, is a chronic fatigue syndrome, a disorder, though controversial, more and more frequently diagnosed. Fatigue ought to be discriminated from fatigability, paresis, somnolence and, first of all depression which commonly coexists in chronic disorders. The assessment is almost entirely based on self-estimate scales filled in by a patient. Attainable results of neuroimaging, electrophysiological, polisomnographic, vegetative, psychological and biochemical surveys have not allowed yet to define the pathogenesis of fatigue. The treatment basis consists of behavioral therapy, psychotherapy and a proper treatment of the basic disease.

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Author information

Author/s: Kumor, Klaudiusz (K); Pierzchala, Krystyna (K);

Affiliation: Z Katedry i Kliniki Neurologii w Zabrzu Slaskiej Akademii Medycznej w Katowicach. kum2(-atsign-)poczta.onet.pl

Journal and publication information

Publication Type: English Abstract; Journal Article; Review

Journal: Wiadomosci lekarskie (Warsaw, Poland : 1960) (Wiad Lek), published in Poland. (Language: pol)

Reference: 2006-; vol 59 (issue 9-10) : pp 685-91

Dates: Created 2007/03/06; Completed 2007/05/03; Revised 2007/11/15;

PMID: 17338130, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Chronic Disease
Depression - etiology; physiopathology
Disability Evaluation
Fatigue - diagnosis; etiology; therapy
Humans
Mental Fatigue - etiology; physiopathology

Multiple Sclerosis - complications; physiopathology
Nervous System Diseases - complications; diagnosis
Parkinson Disease - complications; physiopathology
Postpoliomyelitis Syndrome - complications; physiopathology
Severity of Illness Index
Stroke - complications; physiopathology

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