MND

Question 1

What is the most common type of MND?

Answer 1

AML (amylotropic lateral sclerosis)

Question 2

What neurones are spared in MND

Answer 2

Sensory neurones

Question 3

A 60 year old man presents with insidious, progressive weakness of the muscles of the body affecting the limbs, trunk, face and speech. The weakness is first noticed in the upper limbs. He has increased fatigue when exercising. He says he is clumsy, drops things and is tripping over a lot. He also has slightly slurred speech.

What is the likely diagnosis?

Answer 3

MND

Question 4

What are 4 signs of LMN lesions?

Answer 4

Muscle wasting

Reduced tone

Fasiculations

Reduced relfexes

Question 5

What are 3 signs of UMN lesions?

Answer 5

Increased tone or spasticity

Brisk reflexes

Upgoing plantar response (positive babinski sign)

Question 6

What are the supportive measures in MND? (2)

Answer 6

NIV

Riluzole (can slow progression of disease)