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13 Possible Causes for Long Tract Signs, Thenar Muscle Atrophy

  • Cervical Spondylosis

    The clinical symptoms of cervical spondylotic amyotrophy (CSA) are motor loss or atrophy with an absent or insignificant sensory deficit or a long tract sign; however, the[ncbi.nlm.nih.gov] […] groups, especially in the extremities poor or pathologic tandem gait atrophy of the hand’s thenar prominence (the fleshy fat pad just superior to the thumb on the ventral[americannursetoday.com] […] the following: clonus or spasticity of the lower extremities sensory changes (light touch, pinprick sensation, or temperature dysfunction) generalized weakness throughout muscle[americannursetoday.com]

  • Cervical Myelopathy

    This case highlights the need to look for long tract signs of physical exam to explore possible causes of cervical myelopathy to account for weakness in the legs, which cannot[aclr.com.es] […] groups, especially in the extremities poor or pathologic tandem gait atrophy of the hand’s thenar prominence (the fleshy fat pad just superior to the thumb on the ventral[americannursetoday.com] […] sensory deficits - may be the least advanced form of the disease; - Brachialgia and cord syndrome: radicular pain in the upper extremity along with motor and/or sensory long-tract[wheelessonline.com]

  • Cervical Spinal Cord Tumor

    Journal of Korean Neurosurgical Society 2004;35(3): 261-266. The Usefulness of Laminoplasty in Cervical Spinal Cord Tumor Surgery. 1 Department of Neurosurgery, School of Medicine, Wonkwang University, Iksan, Korea. 2 Department of Neurosurgery, Seoul National University Hospital, Seoul, Korea. spine@snuh.org[…][jkns.or.kr]

  • Myelopathy

    Physical examination commonly elicits long tract signs such as spasticity, hyperreflexia, and abnormal reflexes such as Babinski or Hoffman's sign.[neurosurgery.ucla.edu] […] groups, especially in the extremities poor or pathologic tandem gait atrophy of the hand’s thenar prominence (the fleshy fat pad just superior to the thumb on the ventral[americannursetoday.com] […] sensory deficits - may be the least advanced form of the disease; - Brachialgia and cord syndrome: radicular pain in the upper extremity along with motor and/or sensory long-tract[wheelessonline.com]

  • Cervical Cord Compression

    RESULTS: Both the Chiari I and cervical compression groups had long tract signs evident on clinical neurological examination.[ncbi.nlm.nih.gov] […] groups, especially in the extremities poor or pathologic tandem gait atrophy of the hand’s thenar prominence (the fleshy fat pad just superior to the thumb on the ventral[americannursetoday.com] […] of radiculopathy, Babinski and Hoffman's sign, ataxia and dexterity loss. [5] [13] [14] Typical neurological signs of long-tract involvement are exaggerated tendon reflexes[physio-pedia.com]

  • Rheumatoid Arthritis

    signs; patient remains ambulatory Class IIIB - Objective weakness and long-tract signs; patient no longer ambulatory Diagnostic Studies Rheumatoid factor seropositivity has[emedicine.medscape.com] The skin on the hands showed rashes, thickening, desquamation and chapping, with both thenar muscles atrophy.[ncbi.nlm.nih.gov] Patients being monitored need careful surveillance for long-tract signs or for radiographic findings suggesting impending neurologic compromise (see Plain Radiography).[emedicine.medscape.com]

  • Progressive Muscular Atrophy

    […] pyramidal signs, we believe that sporadic ALS of long clinical course mimicking SPMA exists.[ncbi.nlm.nih.gov] […] group of muscles, including the abductor pollicis brevis (APB) and first dorsal interosseous (FDI), when compared to the abductor digit minimi (ADM) [Figure 1]. 14,22 This[acnr.co.uk] Based on these clinicopathological findings and a literature review of sporadic autopsy cases of ALS with long clinical course (10 years or more), including four cases without[doi.org]

  • Upper Motor Neuron Disease

    For example, a loss of Betz cells in the motor cortex and myelin pallor was found in the corticospinal tract (both UMN signs) in two patients with long-duration PMA, thought[wiki.iop.kcl.ac.uk] […] group of muscles, including the abductor pollicis brevis (APB) and first dorsal interosseous (FDI), when compared to the abductor digit minimi (ADM) [Figure 1]. 14,22 This[acnr.co.uk] […] ultimately resulting in terminal respiratory failure, 19 although rarely may be the presenting symptom. 20,21 The “split hand” sign refers to preferential wasting of the thenar[acnr.co.uk]

  • Acute Pandysautonomia

    Bickerstaff brainstem encephalitis (BBE): similar to Miller-Fisher syndrome but also includes altered consciousness (encephalopathy) or long tract signs (hyperreflexia), or[online.epocrates.com] […] and weakness of the thenar muscle group.[clevelandclinicmeded.com] , in carpal tunnel syndrome, patients might complain of intermittent numbness and tingling in the median nerve distribution in the hand or, as the entrapment progresses, atrophy[clevelandclinicmeded.com]

  • Hyperesthetic Thalamic Pain Syndrome

    tract signs Eye (70%): Cornea verticillata; Cataract, posterior lenticular Hearing loss: Mild Survival Mean 70 years: Reduced 10 to 15 years Death: Due to Cerebrovascular[neuromuscular.wustl.edu] There may be decreased sensation on the tips of the first to third fingers, positive Tinel’s sign, and, rarely, atrophy of the thenar muscles.[brainscape.com] […] with fever or hot weather Less pain in some older patients ( 50 years) Fatigue Skin: Angiokeratomas, mild (10% to 35%) GU Renal dysfunction Bladder dysfunction GI symptoms Long[neuromuscular.wustl.edu]

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