Week 3 - Motor Neurone Disease Flashcards

1
Q

What are the 4 types of MND?

A

Amyotrophic Lateral Sclerosis (ALS)
Progressive bulbar palsy (PBP)
Progressive muscular atrophy (PMA)
Primary lateral sclerosis (PLS)

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2
Q

What is MND?

A

A progressive neurodegenerative disease that can affect the upper and lower motor neurones

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3
Q

What is the most common form on MND?

A

ALS

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4
Q

What motor neurones does ALS involve?

A

Upper and lower

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5
Q

What is not usually affected in MND?

A

Nerves affecting sight, bowel & bladder control and sexual fuction

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6
Q

True or false, MND affects more males than females?

A

True, 60% male, 40% female

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7
Q

What is the cause of MND?

A

90-95% of cases are sporadic (no apparent cause)

5-10% familial MND

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8
Q

What may be considered risk factors of MND?

A

May be related to environmental factors and genetic susceptibility, but no significant risk factors have been identified.

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9
Q

How is MND diagnosed?

A

By ruling out other conditions, EMG, MRI and MCS

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10
Q

What are early symptoms of MND?

A
Weakness or muscle wastage
Difficulty swallowing
Slurred speech
Muscle twitching
Cramps
Emotional instability, depression
Fatigue
Pain
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11
Q

True or false, MND has a large variation of symptoms, rate and pattern of progression and survival rate?

A

True

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12
Q

What are longer term symptoms of MND?

A
Generalised paralysis
Progressive muscle weakness
loss of speech
difficulty swallowing
joint pain and stiffness
muscle spasms, cramps and twitching
respiratory problems
Loss of independence
Sleep disturbance
Psychological
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13
Q

What percentage of MND cases have cognitive and behavioural changes?

A

20%

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14
Q

What is the average life expectancy of MND after diagnosis?

A

3-5 years

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15
Q

True or false: 40% of MND patients have frontal dysfunction severe enough to reach criteria for frontotemporal dementia.

A

True

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16
Q

What drugs can be used to treat MND?

A

Riluzole (slows progression by a couple of months)

Other medications are used to treat symptoms

17
Q

What ultimately results in death in MND?

A

Respiratory failure