LOWER MOTOR NEURON LIMB WEAKNESS - BILATERAL (contd)
Note the muscle groups involved and area of sensory impairment
DISTAL muscle groups -
PROXIMAL muscle groups involved
SPECIFIC muscle groups involved.
reflexes absent or diminished reflexes present
, Fatigue with repetitive effort- JUNCTION
- VARIABLE INTENSITY ^ HYSTERIA
midbrain, pons, medulla
Anterior horn cell (+ spinal-cord)
Spondylosis I disc disease Tumour Infection Vascular
(progressive muscular atrophy) Spondylosis/disc disease ] Tumour
CT scan/MRI MRI
Visual evoked potentials CSF oligoclonal bands
Straight X-ray CT myelography MRI
Electromyography (EMG) CT Scan/MRI
(myelography - cervical roots, radiculography - lumbar roots)
Plexus/peripheral nerves — - Peripheral neuropathy
- Myasthenia gravis 1 Myasthenic syndrome J
Nerve conduction studies EMG, Tensilon test
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