Numbness

Question 1

Stocking distribution of numbness along distal legs

Symmetrical pattern of sensory loss

Answer 1

Peripheral neuropathy

Question 2

Altered sensation below the neck
Reduced reflexes and tone in upper limbs
Increased tone and reflexes in lower limbs

Answer 2

Cervical spondylosis

Question 3

Pain in lumbar spine
Paraesthesia in the lower back and legs
Progressive
Affecting elderly patients

Answer 3

Spinal stenosis

Question 4

Single dermatomal distribution of paraesthesia
Pain and weakness in the muscles of the dermatome
Sudden onset
Preceded by a recent infection

Answer 4

Mononeuritis multiplex

Question 5

Numbness and tingling in the distal fingers and mouth
Hyperventilation
Tachycardia

Answer 5

Anxiety

Question 6

Slowly evolving paraesthesia over one limb
No dermatomal distribution
Associated with personality changes

Answer 6

Tumour

Question 7

Upper limb paraesthesia
No dermatomal distribution
Sudden onset
Associated with slurred speech and reduced responsiveness

Answer 7

Stroke