Fraqueza

Question 1

Quais os principais achados topográficos no exame neurológico?

Answer 1

(1) Cerebrum
Abnormal mental status or cognitive impairment Seizures Unilateral weaknessa and sensory abnormalities including head and limbs Visual field abnormalities Movement abnormalities (e.g., diffuse incoordination, tremor, chorea)

(2) Brainstem
Isolated cranial nerve abnormalities (single or multiple) “Crossed” weaknessa and sensory abnormalities of head and limbs, e.g., weakness of right face and left arm and leg
(3) Spinal cord
Back pain or tenderness Weaknessa and sensory abnormalities sparing the head Mixed upper and lower motor neuron findings Sensory level Sphincter dysfunction

(4) Spinal roots
Radiating limb pain Weaknessb or sensory abnormalities following root distribution Loss of reflexes

(5) Peripheral nerve
Mid or distal limb pain Weaknessb or sensory abnormalities following nerve distribution “Stocking or glove” distribution of sensory loss Loss of reflexes

(6) Neuromuscular junction
Bilateral weakness including face (ptosis, diplopia, dysphagia) and proximal limbs Increasing weakness with exertion Sparing of sensation

(7) Muscle
Bilateral proximal or distal weakness Sparing of sensation