Sensory Abnormality (E.g., Pain, Numbness, Paresthesias)?
Robyn McClemans a édité cette page il y a 2 semaines


Sensory abnormality (e.g., ache, numbness, paresthesias)? Muscle cramping or aching? Bowel and/or bladder symptoms? Ocular involvement (e.g., double imaginative and prescient, BloodVitals home monitor droopy eyelids)? Bulbar involvement (e.g., voice change)? What actions/movements do you could have bother with? Duration or sample? Acute-onset suggests a vascular etiology. Fatigability and waxing/waning counsel myasthenia gravis. Weakness distribution: BloodVitals insights - Proximal vs. Upper vs. lower extremities? Brainstem infection or inflammation (e.g., sarcoidosis, neuromyelitis optica spectrum disorder). Structural lesion compressing the brainstem. Acute disseminated encephalomyelitis (ADEM). Distribution: Motor and sensory findings might localize to a spinal level. Reflexes: Upper motor neuron indicators could appear, particularly subacutely (e.g., BloodVitals SPO2 hyperreflexia, spasticity, Babinski signal). Acutely, patients could have transient spinal shock, with loss of spinal operate below the extent of the lesion and areflexia. Sensation: - Frequently involved. Sensory stage could also be present. Bowel and bladder dysfunction may occur. Spinal cord compression (e.g., trauma, epidural abscess, malignancy). Inflammation (e.g., idiopathic transverse myelitis 📖, neuromyelitis optica spectrum disorders).


Spinal cord infarction (e.g., iatrogenic or complicating meningitis with a local vasculitic course of). Distribution is variable: - Often asymmetric. Enteroviruses (e.g., poliomyelitis, enterovirus D68, enterovirus D71). Arboviruses (e.g., West Nile virus). Paraneoplastic motor neuron illness. Cranial nerve/bulbar involvement: Bulbar involvement could happen, home SPO2 device however ocular involvement is uncommon. Reflexes: Reduced (hyporeflexia or areflexia). Other findings: Lower motor BloodVitals insights neuron findings may occur (atrophy, fasciculations). CMV, HIV, EBV, VZV. Vitamin deficiency (e.g., thiamine deficiency