Neurology- Neuromuscular Disease Flashcards

MS, ALS, GBS, MG, LEMS, muscular dystrophy, Werding Hoff

1
Q

Paraneoplastic syndromes cause muscle weakness

A

Myasthenia gravis
LEMS
Dermatomyositis
Paraneoplastic myelopathy of the spinal cord

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2
Q

Myasthenia gravis

A

Autoantibodies against nicotinic acetylcholine receptors in the POSTSYNAPTIC membrane.

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3
Q

S&S myasthenia gravis

A
Fluctuating muscle weakness
ocular (ptosis, diplopia),
bulbar (dysphagia, dysarthria)
Facial, neck and limb weakness 
WORSE with REPETITION
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4
Q

LEMS

A

antibodies targeted against the PRESYNAPTIC membrane

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5
Q

S&S LEMS

A
Proximal limb weakness
Cranial nerve involvement 
Autonomic dysfunction (dry mouth, ED)
↓ DTR
temporary IMPROVEMENT with REPETITION
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6
Q

Follow up testing on myasthenia gravis

A

Chest imaging to evaluate for thymoma and possible planning of thymectomy

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