[Motor neurone disease] Flashcards
motor cortex
CN nuclei
anterior horn cells
normal function
none
NONE whatsoever
Amyotrophic lateral sclerosis
Progressive bulbar palsy
Progressive muscular atrophy
primary lateral sclerosis
motor cortex neurone damage
+
anterior horn cell damage
Both
9-12 CNs
anterior horn cells only (LMNL)
loss of Betz cells in motor cortex
UMNL
spastic gait
foot drop
weak grip
aspiration pneumonia
2-4 years
60 years
Riluzole
antiglutamatergic
Propantheline
LMNL
of 9-12 CNs
UMNL
pf swallowing/talking muscle groups
wasting of tongue
fasciculations of tongue
absent or normal jaw jerk
increased jaw jerk
slow deliberate speech
emotional incontinence without emotional change
CN nuclei
corticobulbar tracts
El Escorial
Definite ALS probable ALS probably with lab support (EMG) possible ALS Suspected
LMNL+UMNL signs in 3 regions
LMNL+UMNL signs in 2 regions
LMNL+UMNL signs in 1 regions
UMNL or LMNL in 1 or more regions
excess glutamate in MND
Na+ channel blocker
inhibits glutamate release