Signs/Sx and Dx Flashcards
what is charcot triad
- scanning speech
- intention tremor
- nystagmus
what 2 sx are commonly seen as initial presentation
- paresthesias
2. gait disturbance
most common painful symptom
painful spasms
top 3 most prevalent symptoms
- bladder and bowel dysfunction
- central fatigue
- pain
top 3 problems that affect ADLs
- fatigue
- balance
- weakness
what is lhermitte’s sign?
passive neck flexion causes shock-like sensation down the spine
What does “lesions scattered in time and space” mean
MRI findings in 2 of 4 regions (space)
And 2nd clinical attack or new lesion (time)
CSF finding
Oligoclonal IgG bands
What are 3 special NCS tests that are done to Dx MS
- Brainstem evoked potential
- Somatosensory evoked potentials
- Visual evoked potentials
What do you see on NCS in MS?
Should be normal, but can find decreased amplitudes if muscle atrophy.
What do you see on SFEMG?
Increased jitter
Greatest sensitivity test for MS
MRI
Test of choice to support clinical diagnosis of MS
MRI
Where do you usually find plaques on Brain MRI
- periventricular
- corpus callosum
- basal ganglia
