23 results
Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
with tongue weakness ... , wasting and fasciculations ... differentiates this from an UMN ... CN12 #clinical #video ... #neurology #physicalexam
Incomplete spinal cord syndromes (ISCS)
 • Central - Small Lesion - Suspended sensory deficit, classic cape
Incomplete spinal cord syndromes ... positive Romberg sign ... and LMN types) ... Incomplete #spinalcord #syndromes ... #diagnosis #neurology
Tongue Fasciculations Secondary to Hypoglossal Nerve Damage

Most commonly associated with ALS - This LMN XII was
Tongue Fasciculations ... with ALS - This LMN ... post radiation and ... PhysicalExam #Clinical #Video ... #CNXII #CN12 #Neurology
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
and LMN signs in ... and LMN signs to ... and LMN signs on ... EMG: LMN Signs in ... Lateral #Sclerosis #neurology
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... "setting sun" sign ... Dorsal midbrain and ... #neurology #diagnosis
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
thumb on the same hand ... are not useful signs ... Hoffmanns #Reflex #Sign ... PhysicalExam #clinical #neurology ... #UMN #video #Pyramidal
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... from the left and ... bobvarkey #Left #Tongue ... palsy #clinical #video ... #physicalexam #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
• Acute stroke syndromes ... Paraneoplastic syndrome ... Gravis - Lack of UMN ... /LMN signs - Lack ... Differential #Diagnosis #neurology
Tongue Fasciculations and atrophy of the tongue as a sign of bulbar denervation. It is a
and atrophy of ... the tongue as a ... sign of bulbar denervation ... atrophy #clinical #video ... #neurology #denervation
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
signs below the ... decreased muscle tone ... MCTD, Sjogren syndrome ... : Areflexia UMN ... disorders #diagnosis #neurology