Study Group 2 Flashcards
This lady presents with hand weakness
MMN With conduction block
Progressive muscular atrophy-
CIDP
Hereditary neuropathy with susceptibility to pressure palsies
Acute intermittent porphyria
Myopathies: fSHD, IBM
Diabetes, lead other peripheral neuropathies possible but less likely
Ix Nerve conduction Haem LFT Ana ens anca Epep Lead B12, folate hiv
This man presents with weakness of the hands and thighs
Myopathy pattern on emg
Decreased amplitude
Positive sharp waves at rest
Spontaneous muscle fibrillation
This 38 lady has difficulty walking
Spastic paraparesis with lmn features of right
Young
Ms
Trauma
Transverse myelitis
Older
As above and
Anterior cord syndrome
Congenital
Acquired exogenous, endogenous,parenchymal lesions
Congenital
SCA/ Friedrichs ataxia
Hereditary spastic paraparesis
Spina Bifida
Acquired Exogenous Tumor Bleed Abscess Disc prolapse Trauma
Endogenous
Anterior Cord syndrome ischaemia - retained dorsal column proprioception and vibration
Parenchymal
MS
Adrenoleukodystrophy
B12/ thyroid
Bilateral facial weakness
FSHD Limb girdle dystrophy no facial involvement Myotonic dystrophy: facial balding IBM Congenital myopathies Acid Maltase deficiency Polymyositis
Ix
Genetic testing
Audiometry
Ophthalmology
Myotonic dystrophy
Conduction cardiac block
Peg tube
Paul presents with difficulty walking
Bilateral hearing aids
Orthotic footwear
he has a circumducting spastic gait
No proximal myopathy necessitating use of his hands to get out of bed
Unable to heel toe or tandem walk
Tone increased but
Not such there’s clonus
Power intact unable to dorsiflex due to plantarflexors being stronger than the dorsiflexors
Hereditary spastic paraparesis
anatomical causes like Dural arteriovenous fistula, Tethered cord syndrome
Myelopathy causing spinal cord compression
Tumors
Demyelinating disorders like MS, adrenoleukodystrophy
Metabolic causes like b12 or phenylketonuria
Infectious causes like htlv hiv or neurosyphillis
