neuromuscular diseases

Question 1

features of periheral neuropahty

Answer 1

distal weakness
easrly wasting

reduced reflexes

sensory can be involved

2.5% prealent increacing in age

causes: charcot marie tooth
aquired/ inflammatory. metabloic, b12 deficincy.

Question 2

myasthenia gravis

Answer 2

psotis, double vision, dysarthria

fatiguability, fluctuant weakness

young and old bimodal dist

ginetic dispositoin, autoimmune triggers

Ix: EMG, serum acetylcholine recptor antobody testing.

Rx: pred for immunosuppression
pyridostigmine- boost amount of ach
thymectory (for thymoma)

ivig- for chrisis.

Question 3

MND

Answer 3

progressive weakness, speech and breathing problems, tounge wasting

mix upper and lower motor signs
no sensory signs

brisk reflexes.

ALS most common. pls- slow progression.

assoc with FTDementia

goldcoast criteria for diagnosis.

Rx: incurable
tofersen is new might work