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

Note

LMN palsy with tongue ... weakness, wasting and fasciculations ... @bobvarkey #tongue ... #atrophy #fasciculations ... hypoglossal #CNXII #CN12

Tongue Fasciculations in Left Hypoglossal Nerve Palsy

- Atrophy of affected side
- Fasciculations
- Tongue deviates towards weak

Tongue Fasciculations ... Nerve Palsy - Atrophy ... - Tongue deviates ... #Fasciculations ... #Palsy #CNXI #CN12

Tongue Fasciculations Secondary to Hypoglossal Nerve Damage

Most commonly associated with ALS - This LMN XII was

Tongue Fasciculations ... @camwolfe #Tongue ... #Fasciculations ... HypoglossalNerve #CNXII #CN12

In this video, you see right sided atrophy, right sided deviation, and fasiculations R>L, indicating a

see right sided atrophy ... Remember: atrophy ... hoarseness; and CNXII (tongue ... NateWarnerMD #Tongue ... HypoglossalNerve #CNXII #CN12

Tongue Fasciculations and atrophy of the tongue as a sign of bulbar denervation. It is a

Tongue Fasciculations ... and atrophy of ... the tongue as a ... #Fasciculations ... #atrophy #clinical

Tongue Atrophy and Tongue Fasciculations on Physical Exam

44 year-old male with dysphasia and progressive muscular weakness.

Dr.

Tongue Atrophy and ... Tongue Fasciculations ... dr_supradip #Tongue ... #Atrophy #Fasciculations

Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
• Cardio-pulmonary disease

Differential Diagnosis Algorithm ... Motor Neuropathy - Atrophy ... , Fasciculations ... Spinal Muscular Atrophy ... Differential #Diagnosis #Algorithm

Muscle Fasciculations on Physical Exam

81 year old patient. History of swallowing disorders, weight loss and muscle

Muscle Fasciculations ... finding of muscular atrophy ... and fasciculations ... together with atrophy ... twitching of the tongue

Causes of Peripheral Weakness - With and Without Sensory Changes - Differential Diagnosis Algorithm
With Sensory Changes:

Differential Diagnosis Algorithm ... Motor Neuropathy - Atrophy ... , Fasciculations ... Differential #Diagnosis #Algorithm

Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic

muscles, muscle atrophy ... loss of muscle (atrophy ... Muscle twitching (fasciculations ... ) • BULBAR: Tongue ... fasciculations

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