Motor Neurone Disease Revision Questions

Question 1

What is MD

Answer 1

degeneration of motor nerves in anterior horns of corticospinal tract in the spinal cord
also affect motor nuclei on brain stem called bulbar motor nuclei in cranial nerve
patients aged 30-60years die within 3 years of diagnosis

Question 2

Symptoms

Answer 2

muscle cramps and twtiches
weight loss
weakness in ankles or legs 
slurred speech
weak grip
emtional labiliity

Question 3

Treatment

Answer 3

physio and occupational

aspiration prevention - PEG tube feed, reduce salivation

Question 4

Dental aspects

Answer 4

difficult in acceptance
drooling and swallowing problems
difficult to maintain head posture
realistic treatment planning - improve self image