Presentation
Spinal cord lesions: Upper motor neuron signs, sphincter dysfunction, and autonomic dysfunction may be present. A sensory level or loss of specific reflexes may help determine the segmental level the lesion. [sites.google.com]
A 35-year-old woman presented with one month's history of progressive bilateral leg weakness and altered sensation. There had been no pain. She had noted urinary frequency and constipation in the previous two weeks. [ncbi.nlm.nih.gov]
A description and images are presented, followed by the diagnosis and an explanation of how the diagnosis was determined. As always, your comments are welcome via email at [email protected] [healio.com]
Jasmin A Jones MAcOM LAc LMT February 2013 OVERVIEW 42-year-old female presents with an inability to walk due to slow-onset, partial bilateral leg paralysis occurring over a 15 year time span. [acupuncturereliefproject.org]
Jankovic is the recipient of many other honors including the American Academy of Neurology (AAN) Movement Disorders Research Award, sponsored by the Parkinson’s Disease Foundation, the Guthrie Family Humanitarian Award, presented by the Huntington’s Disease [books.google.de]
Entire Body System
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Vietnamese
Paul's Top 5 Vietnamese Eateries Craving Vietnamese food? St. Paul has many spots that should satisfy your hunger. [minnesota.cbslocal.com]
Respiratoric
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High Pitched Voice
When she speaks she has a sweet, high-pitched voice, reminiscent of a small child. She is extremely proud, not accepting any assistance in or out of the treatment room. She appears optimistic that acupuncture will help her. [acupuncturereliefproject.org]
Cardiovascular
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Systolic Murmur
Her physical exam revealed no leukocytosis or neurologic deficits, but did show a systolic murmur from her aortic valve. [mdedge.com]
Psychiatrical
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Loss of Initiative
Motivation/Initiative 0 — Normal 1 —Less assertive than usual: more passive. 2 Loss of initiative or disinterest in elective (non-routine) activities. 3 — Loss... [books.google.de]
Face, Head & Neck
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Hypomimia
Facial Expression: 0 — Normal. 1 — Minimal hypomimia, could be normal "poker face. [books.google.de]
Neurologic
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Bilateral Leg Paralysis
Jasmin A Jones MAcOM LAc LMT February 2013 OVERVIEW 42-year-old female presents with an inability to walk due to slow-onset, partial bilateral leg paralysis occurring over a 15 year time span. [acupuncturereliefproject.org]
Workup
Workup If spinal cord disease is in the differential, an MRI of the cord is essential and should be done emergently. An LP is helpful in neuropathies and in spinal cord disease. [pedclerk.bsd.uchicago.edu]
A neurologic examination that shows deficits in a single nerve or radicular distribution indicates a possible mononeuritis, entrapment neuropathy, or radiculopathy, and calls for a different workup than that required for a limb paresis in a patient with [aafp.org]
Treatment
Patient reports she had treatment from a Korean medical practitioner, which ended 30 days prior to beginning treatment at the Vajra Varahi Medical Clinic. [acupuncturereliefproject.org]
If our patient had had an ESR or CRP test earlier, or if further imaging had been conducted sooner (given her proximal muscle weakness), the correct diagnosis would have been made more quickly and appropriate treatment provided sooner. [mdedge.com]
Early diagnosis of CIDP with early treatment can prevent loss of nerve axons. It is very difficult to implicate with certainty an etiologic role for a preceding vaccine in a patient who develops a polyneuropathy. [healio.com]
Treatment for foot drop will depend on the cause. Early treatment may improve chances of recovery. Treatments may include: lightweight braces shoe inserts (orthotics) physical therapy surgery Lightweight braces are the most common treatment. [webmd.com]
[…] events, treatment satisfaction and patient masking. [thesgem.com]
Prognosis
[…] neurologic deficits. 1,2 Acute low back pain is often mechanical (97%); however, other causes, including infection, may be to blame ( TABLE ). 1 Most acute back pain will improve with conservative treatment and patients need only reassurance of a favorable prognosis [mdedge.com]
TCM DX: Kidney yang deficiency, cold stagnating the DU channel PROGNOSIS: Due to the fact that she has been untreated for 12 years, it is unlikely this patient will fully recover from acupuncture alone. [acupuncturereliefproject.org]
This cautious approach is understandable, given the prognosis of the illness and the devastation that being given the diagnosis may cause to a person's life. [patient.info]
Prognosis, sequelae, diagnosis, differential diagnosis, especially when the patient supine. [smj.org.sa]
Other immunosuppressive therapies such as cyclophosphamide, cyclosporine, and azathioprine have been tried with variable response but there are no double-blind, randomized, placebo-controlled studies to support the use of these medications. 4 The prognosis [n.neurology.org]
Etiology
It is very difficult to implicate with certainty an etiologic role for a preceding vaccine in a patient who develops a polyneuropathy. In this case, we can not be certain that influenza vaccination was the cause of the polyneuropathy. [healio.com]
Introduction Neurologists focus on identifying the location of the pathologic lesion as the first step in determining etiology. [pedclerk.bsd.uchicago.edu]
Other etiologies are less likely because of the absence of systemic symptoms, toxin exposure, or prior medical history, but still need to be ruled out as neuropathy can be the first or only manifestation of these conditions. [n.neurology.org]
Muscle disease often results in an increase in creatine kinase levels in the blood, although this is quite nonspecific in terms of etiologic diagnosis. [dartmouth.edu]
Diagnosis begins with a patient history distinguishing weakness from fatigue or asthenia, separate conditions with different etiologies that can coexist with, or be confused for, weakness. [aafp.org]
Epidemiology
There may be several causes for such oxidative damage to motor neurons and the disease may just represent an end-stage phenotypic expression of these abnormalities. [ 4 ] Epidemiology MND is relatively uncommon with an annual incidence of about 2 cases [patient.info]
Idiopathic inflammatory myopathies: epidemiology, classification, and diagnostic criteria. Rheum Dis Clin North Am. 2002;28:723–41. 23. Targoff IN. Laboratory testing in the diagnosis and management of idiopathic inflammatory myopathies. [aafp.org]
Pathophysiology
Pathophysiology This is a degenerative condition that affects motor neurons, namely the anterior horn cells of the spinal cord and the motor cranial nuclei. [patient.info]
Prevention
Early diagnosis of CIDP with early treatment can prevent loss of nerve axons. It is very difficult to implicate with certainty an etiologic role for a preceding vaccine in a patient who develops a polyneuropathy. [healio.com]
Prevention of hip fracture in elderly people with use of a hip protector. [books.google.de]
Other treatments in the hospital focus on preventing complications. [medlineplus.gov]
Is It Possible to Prevent Leg Pain? There is a school of thought that says that all injuries are preventable, but in the real world, accidents happen and injuries are the result. [emedicinehealth.com]
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