Clinical 1: sensation

Question 1

mononeuropathy

Answer 1

lesion in individual peripheral nerve, eg. carpal tunnel syndrome

Question 2

Radiculopathy

Answer 2

Lesion in single nerve root

Question 3

• peripheral polyneuropathy

Answer 3

disease of peripheral nerves, eg. axon damage in diabetes mellitus
(initially in longest axons, feet to lower limbs to hands)

Question 4

What do you use to examine these sensations

Light touch 
Pain 
Temperature 
Vibration 
Joint position

Answer 4

Light touch=  cotton wool
Pain=  safety pin (“sharp or blunt”)
Temperature= host/cold test tubes
Vibration= tuning fork (128Hz)
Joint position= passive joint movement

Question 5

What isMultiple sclerosis

Answer 5

• autoimmune CNS disorder
• present with focal neurological deficit
• sub-acute onset
• sensory symptoms most common for first presentation (motor weakness follows)