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34 Possible Causes for Apathy, Nocturnal Leg Cramp, Paresthesia

  • Hypoglycemia

    Feeling of numbness, pins and needles (paresthesia) Negativism, irritability, belligerence, combativeness, rage Personality change, emotional lability Fatigue, weakness, apathy[en.wikipedia.org] Severe hypoglycemia eventually lead to glucose deprivation of the central nervous system resulting in hunger; sweating; paresthesia; impaired mental function; seizures; coma[icd9data.com] […] discomfort Headache Abnormal thinking, impaired judgment Nonspecific dysphoria, moodiness, depression, crying, exaggerated concerns Feeling of numbness, pins and needles (paresthesia[en.wikipedia.org]

  • Chronic Kidney Insufficiency

    Uremia also causes polyneuropathy with paresthesia.[lecturio.com]

  • Pernicious Anemia

    The most common of these are paresthesias, weakness, clumsiness, and an unsteady gait.[web.archive.org] We describe a case of a young black woman with gradually progressive lower extremity paresthesias, weakness, and ataxia as the primary presenting symptoms of pernicious anemia[ncbi.nlm.nih.gov] The classic triad of weakness, sore tongue, and paresthesias may be elicited but usually is not the chief symptom complex.[web.archive.org]

  • Insulinoma

    Neuroglycopenic symptoms include dizziness, confusion, apathy, amnesia, personality and behavioral changes, visual disturbances, seizure, and coma. 2 The diagnosis of insulinoma[journals.lww.com] […] hypoglycemia: neurogenic vs. neuroglycopenic Palpitations Fatigue Diaphoresis Personality change Tremulousness Difficulty with speech or concentration Anxiety Irritability Paresthesias[ijpeonline.biomedcentral.com] The patient reported occasional episodes of weakness, sweating, pallor, tremor, confusion, paresthesias, and visual blurring in the previous year.[journals.lww.com]

  • Parkinson's Disease

    Apathy was identified in 31.6%; apathy without depression was present in 33.3% of patients.[ncbi.nlm.nih.gov] , glabellar reflexes), non-motor symptoms (eg, autonomic dysfunction, cognitive/neurobehavioral abnormalities, sleep disorders and sensory abnormalities such as anosmia, paresthesias[ncbi.nlm.nih.gov] […] been documented or the patient has not had an adequate trial of levodopa or a dopamine agonist Sensory abnormalities Sensory symptoms such as olfactory dysfunction, pain, paresthesia[doi.org]

  • Amyotrophic Lateral Sclerosis

    These patients and their carer/spouse were asked to report any history of abulia-apathy, hallucination, personality change and other variety of symptoms.[ncbi.nlm.nih.gov] FDA bans quinine for nocturnal leg cramps. Drug Utilization Rev. 1995; Oct:150. 26. Moss AH, Casey P, Stocking CB, Roos RP, Brooks BR, Siegler M.[aafp.org] In 1994, his 46-year-old wife noted motor weakness with paresthesia in the lower limbs.[dx.doi.org]

  • Graves Disease

    […] measurement of vitals is rate of percieved exertion. [4] Percautions/Symptoms related to hypothyroidism (if patient on medication or post surgical) [4] Excessive fatigue and apathy[physio-pedia.com] Treatment The goals of treatment ( 18 – 20 ) are elimination of the symptoms and signs of hypoparathyroidism (paresthesiae, muscle cramps, convulsions, stridor, cognitive[doi.org]

  • Hypocalcemia

    […] hemolysis Inadequate Potassium Excretion - from decreased aldosterone related to Adrenalectomy or Addison’s disease Signs of Hyperkalemia - High Potassium Diarrhea LOC Changes -Apathy[web.archive.org] At presentation, he had ataxia, paresthesia in the hands and feet, and abdominal cramping. Magnetic resonance imaging of the brain was unremarkable.[ncbi.nlm.nih.gov] A comparison between groups demonstrated that cases had a significantly higher incidence of symptomatic hypocalcemia resulting in paresthesia and tetany (38% vs. 0%; P CONCLUSIONS[ncbi.nlm.nih.gov]

  • Hypomagnesemia

    Mental status changes include mood alterations such as apathy, depression, or apprehension; confusion; hallucinations; delirium; or psychosis.[nursingcenter.com] […] deficiency associated with proton pump inhibitors (PPIs) has been described recently with clinical presentations varying from life-threatening conditions to muscle cramps and paresthesias[ncbi.nlm.nih.gov] .  Other manifestations include Apathy, Muscle cramps, Hyperreflexia, Acute organic brain syndromes, Depression, Generalized weakness, Anorexia, Vomiting 34.  Measurement[slideshare.net]

  • Respiratory Alkalosis

    Neurological: “hypercapnic encephalopathy”include 1. irritability, inability to concentrate, 2. headache, anorexia, 3. apathy, confusion, combativeness, hallucinations, delirium[slideshare.net] Dry mouth Nausea/vomiting May exhibit: Abdominal distension (elevating diaphragm as with ascites, pregnancy) Vomiting NEUROSENSORY May report: Headache, tinnitus Numbness/tingling[nurseslabs.com] […] seizures confusion hypo kalemia lightheadedness dizziness tingling of the extremities hope this helps.[allnurses.com]

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