MSRA: Motor Neuron Disease Flashcards

1
Q

What investigations are needed in motor neurone disease?

A

EMG and nerve conduction studies

CT or MRI can be useful in ruling out other DDx

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2
Q

What is the presentation of motor neurone disease?

A

Limb weakness - dropping objects, unable to manipulate objects such as turning keys, can have wrist drop
Foot drop, abnormal gait
Bulbar - first sign is usually slurring of speech due to impaired tongue movements
The patient may also report twitching muscles

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3
Q

What are the examination findings in motor neurone disease?

A

UMN and LMN signs
Limb weakness
Muscle wasting and fasciculations
No sensory element

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4
Q

What is the preferred way to support nutrition in patients with MND?

A

PEG

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