Myopathy

May 3, 2021 by in NEUROLOGY Comments Off on Myopathy

Myopathy, a disorder of muscle, should be suspected in patients with weakness without numbness. The diagnosis is supported by elevated creatine kinase (CK) levels, although a normal CK does not…

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Myasthenia Gravis: Treatment

May 3, 2021 by in NEUROLOGY Comments Off on Myasthenia Gravis: Treatment

A. Myasthenic crisis is a life-threatening, rapid worsening of myasthenia gravis (MG) leading to respiratory failure requiring intubation or noninvasive ventilation. Impending crisis is rapid clinical worsening that could lead…

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Myasthenia Gravis: Diagnosis

May 3, 2021 by in NEUROLOGY Comments Off on Myasthenia Gravis: Diagnosis

Myasthenia gravis (MG) is an autoimmune disorder caused by antibodies directed against the postsynaptic neuromuscular junction of skeletal muscle. MG is characterized by fluctuating weakness that worsens with activity and…

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Motor Neuron Disease

May 3, 2021 by in NEUROLOGY Comments Off on Motor Neuron Disease

Motor neuron disease refers to a disease process affecting one or both of the two neurons in the motor circuit: (1) the upper motor neurons (UMNs), which originate in the…

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Lumbosacral Plexus Syndromes

May 3, 2021 by in NEUROLOGY Comments Off on Lumbosacral Plexus Syndromes

The lumbosacral plexus is formed from the L1–S3 nerve roots. It is divided into an upper component (the lumbar plexus), which innervates hip flexion, hip adduction, and knee extension, and…

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Brachial Plexus Syndromes

May 3, 2021 by in NEUROLOGY Comments Off on Brachial Plexus Syndromes

The brachial plexus is formed from the C5–C8 and T1 nerve roots. It is divided into three trunks: the upper trunk is formed by the junction of the C5 and…

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Carpal Tunnel Syndrome

May 3, 2021 by in NEUROLOGY Comments Off on Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) refers to symptomatic compression of the median nerve in the wrist as it passes through the carpal tunnel, which is bounded by the carpal bones and…

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Mononeuropathy Multiplex

May 3, 2021 by in NEUROLOGY Comments Off on Mononeuropathy Multiplex

Mononeuropathy multiplex (sometimes referred to as mononeuritis multiplex) is defined as lesions affecting two or more nerves that cannot be explained by a single root or plexus injury. The involvement…

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Paraprotein-Associated Neuropathies

May 3, 2021 by in NEUROLOGY Comments Off on Paraprotein-Associated Neuropathies

Neuropathies associated with monoclonal gammopathies (paraproteinemias) are relatively uncommon. Paraprotein subtypes most frequently associated with polyneuropathy include heavy chains (IgM, IgA, and IgG) and light chains (kappa or lambda). Determining…

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Demyelinating Neuropathies

May 3, 2021 by in NEUROLOGY Comments Off on Demyelinating Neuropathies

Nerve conduction studies (NCSs) can determine whether a neuropathy is due to injury to the nerve axon (axonal neuropathy) or to the myelin sheath (demyelinating neuropathy). As the number of…

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