Presentation
The clinical presentation is that of progressive/relapsing and remitting muscle weakness present for more than 2 months, symmetrical proximal and distal extremity weakness and hyporeflexia. [neuroweb.us]
Particular clinical presentations of neurometabolic disorders include ataxias, movement disorders, childhood epilepsies, or peripheral neuropathy. [oxfordmedicine.com]
Many disorders present with prominent neurologic (central, peripheral, and autonomic) as well as myopathic features. [neupsykey.com]
This may present with some difficulty in diagosis, particularly when the proximal limb-girdle musculature is the sole site of presentation. [intranet.tdmu.edu.ua]
A Schwannoma presents with tinnitus and hearing loss. Meningiomas often compress the Vth nerve and present with facial pain. [neurodiffdx.com]
Entire Body System
- Chronic Fatigue Syndrome
These include criteria for the diagnosis of multiple sclerosis, dementia of Lewy-body type, frontal lobe dementias, chronic fatigue syndrome, and inflammatory neuropathies. [books.google.com]
Is neurally mediated hypotension an unrecognised cause of chronic fatigue? Lancet. 1995 ; 345 : 623 – 624 ↵ Buchwald D, Wener MH, Pearlman T, Kith P. Markers of inflammation and immune activation in chronic fatigue and chronic fatigue syndrome. [pediatrics.aappublications.org]
Respiratoric
- Stridor
The patient must be observed for stridor and the airway secured if necessary. 28. [slideshare.net]
Respiratory stridor is a later feature, and stimulus-sensitive myoclonus occurs in about one-third of cases. Sensory changes are minor, with some impairment of vibration and position sense in the toes. [intranet.tdmu.edu.ua]
Musculoskeletal
- Trousseau Sign
Symptoms and signs of hypocalcemia Neuromuscular irritability Paresthesias Laryngospasm / Bronchospasm Tetany Seizures Chvostek sign Trousseau sign Prolonged QTc time on ECG 12. Tetany is not caused by increased excitability of the muscles [slideshare.net]
Neurologic
- Cerebellar Disease
[…] alternating movement Symptoms of cerebellar disease-Gait ataxia broad based and unsteady with inability to walk in a straight line and a tendency to lurch from side to side Symptoms of cerebellar disease- Truncal ataxia impaired control of truncal posture [quizlet.com]
Entries on cerebellar diseases, peripheral neuropathies, various dementias, diagnostic tests (both clinical and laboratory), forms of cerebral edema, dissociative signs and syndromes - all these and many more have been added, expanded, updated or clarified [books.google.com]
Non-Vascular Cerebellar Disease An Overview of Non-Vascular Cerebellar Disease The major drug group that affects the cerebellum is the anticonvulsants. [neurodiffdx.com]
It can be seen as a feature of: Trauma Osteoarthritis Pelvic girdle pain Gait in cerebellar disease Ataxia is the most prominent manifestation of cerebellar disease. [patient.info]
Cerebellar disease can also result in decrease tone. [casemed.case.edu]
- Neuralgia
Ekbom K: Ergotamine tartrate orally in Horton's histaminic cephalalgia (also called Harris's ciliary neuralgia). Acta Psychiatr Scand 1947, 46 :106. Google Scholar 33. [link.springer.com]
Trigeminal neuralgia or tic doloureux is characterized by lancinating pains that usually affect one division (often V2), and are triggered by cold or shaving. [casemed.case.edu]
- Spastic Paraplegia
Spastic paraplegia of Shtrumpel B. Family spastic paralysis with amyotrophy, oligophrenia, retina degeneration (described by Kellin) C. Family spastic paralysis with ichthyosis and oligophrenia 3. [intranet.tdmu.edu.ua]
Hereditary spastic paraparesis HSP, also known as familial spastic paraplegias or Strumpell-Lorrain disease, comprises a clinically and genetically heterogeneous group of hereditary disorders characterized by slowly progressive spastic paraparesis. [emedicine.medscape.com]
Workup
Workup - other ECG Malabsorption workup Karyotyping and family screening 26. Treatment of Hypocalcemia 27. [slideshare.net]
Aspartate aminotransferase levels Other studies may include the following: Electrocardiography Antinuclear antibody levels Genetic testing Electromyography Magnetic resonance imaging (to assess complications or rule out neurologic disease) Muscle biopsy See Workup [emedicine.medscape.com]
Treatment
Acute and preventive pharmacologic treatment of cluster headache. Neurology 2010, 75 ( 5 ):463-73. CrossRef PubMed Google Scholar 24. [link.springer.com]
[…] for which specific treatments are available. [mentalhealth.com]
More Symptoms of Myopathy with extrapyramidal signs » Treatments See also the following treatment articles: Treatments for Myopathy Causes See also causal information: Causes of Myopathy Similar Topic Articles Myopathy Extrapyramidal signs Names and Terminology [familydiagnosis.com]
Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]
Such treatments may include the following: Supportive: Management of airway, breathing, circulation; hydration; intensive care management may be needed in some cases Drug therapy Physical therapy Bracing Surgery See Treatment for more detail. [emedicine.medscape.com]
Prognosis
Prognosis of MELAS syndrome is poor. [pliem.co.za]
The prognosis is most favorable when the onset of symptoms occurs after the second decade of life. [intranet.tdmu.edu.ua]
A poor prognosis for patients has been suggested if there are infratentorial lesions early in the course of the illness (particularly the MCP). Acute disseminated encephalomyelitis frequently evolves into MS. [neurodiffdx.com]
This distinction is important for genetic counseling of family members and for the patient’s prognosis, in that HSP generally carries a more favorable prognosis. [2] Other components of the differential diagnosis of HSP are similar to those of PLS. [emedicine.medscape.com]
For patients with CIPA/HSAN type IV, the prognosis for independent function depends on the ability to manage secondary clinical problems, especially the orthopedic issues. [pediatrics.aappublications.org]
Etiology
These conditions have widely varying etiologies, including congenital or inherited, idiopathic, infectious, metabolic, inflammatory, endocrine, and drug-induced or toxic. [emedicine.medscape.com]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Etiology and Pathology The etiology is unknown. [intranet.tdmu.edu.ua]
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]
Epidemiology
Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]
Vågå study of headache epidemiology. Cephalalgia 2003, 23 ( 7 ):528–533. CrossRef PubMed Google Scholar 5. Russell MB: Epidemiology and genetics of cluster headache. Lancet Neurol 2004, 3 ( 5 ):279–283. CrossRef PubMed Google Scholar 6. [link.springer.com]
At first considered a rare condition, it is now recognized as one of the most frequent dementing disorders, second in incidence only to Alzheimer disease in most hospital-based epidemiological studies. [usmle.net]
Epidemiologic data suggest that smoking may be an established risk factor for sporadic ALS. [8] The peak age of onset is between 55 and 75 years. [emedicine.medscape.com]
Epidemiology The prevalence of PD is 133 per 100 000 people. This disease is considered to be one of the most common ones among old people after dementia, epilepsy, cerebral vascular diseases. The beginning of the disease is at the age of 55. [intranet.tdmu.edu.ua]
Pathophysiology
Pathophysiology Ionized calcium is affected by: Albumin Blood pH Serum phosphate Serum magnesium Serum bicarbonate Exogenous factors Citrate / free fatty acids (TPN) 5. [slideshare.net]
Involvement of the autonomic nervous system in the pathophysiology of Rett syndrome. Eur Child Adolesc Psychiatry. 1997 ; 6(suppl 1) : 42 – 45 ↵ Weese-Mayer DE, Boothby CM, Lieske SP, et al. [pediatrics.aappublications.org]
Pathophysiology of weakness in a patient with congenital end-plate acetylcholinesterase deficiency. Muscle Nerve 20 02; 25(4): 585 - 592 3. Hanada S, Kumashiro R, Kaji R, Harada M, Sata M. [neuro-tokushima.com]
Whereas the pathophysiology of muscular dystrophy 3 and the core myopathies 4 involves abnormal mitochondrial Ca 2+ handling, the phenotype associated with MICU1 deficiency is caused by a primary defect in mitochondrial Ca 2+ signaling, demonstrating [nature.com]
Beware that some conditions, such as metabolic diseases of the brain, epilepsy and migraine have no circumscribed anatomical substrate, and are best described in pathophysiological rather than anatomical terms. [casemed.case.edu]
Prevention
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
We consider verapamil and lithium to be first-line preventives for chronic CH, although the trial evidence is at best Class II. [link.springer.com]
MICU1 acts both as an activator or inhibitor of mitochondrial calcium uptake: acts as a gatekeeper of MCU at low concentration of calcium, preventing channel opening; enhances MCU opening at high calcium concentration, allowing a rapid response of mitochondria [flybase.org]
Unfortunately, there are no preventive or curative measures for the disease to date. Dietary restriction is beneficial, but compliance is often limited. [pliem.co.za]
Patients require aids to maintain ambulation and prevent falling. [intranet.tdmu.edu.ua]