PHYSICAL SIGNS Functional weakness and sensory disturbance
نویسندگان
چکیده
In the diagnosis of functional weakness and sensory disturbance, positive physical signs are as important as absence of signs of disease. Motor signs, particularly Hoover’s sign, are more reliable than sensory signs, but none should be used in isolation and must be interpreted in the overall context of the presentation. It should be borne in mind that a patient may have both a functional and an organic disorder.
منابع مشابه
Functional weakness and sensory disturbance.
In the diagnosis of functional weakness and sensory disturbance, positive physical signs are as important as absence of signs of disease. Motor signs, particularly Hoover's sign, are more reliable than sensory signs, but none should be used in isolation and must be interpreted in the overall context of the presentation. It should be borne in mind that a patient may have both a functional and an...
متن کاملElectrodiagnosis of cervical radiculopathy.
Cervical radiculopathy is a common diagnosis with a peak onset in the fifth decade. The most commonly affected nerve root is C7, C6, and C8. The etiology is often compressive, but may arise from noncompressive sources. Patients commonly complain of pain, weakness, numbness, and/or tingling. Examination may reveal sensory or motor disturbance in a dermatomal/myotomal distribution. Neural compres...
متن کاملCervical flexion myelopathy in a patient showing apparent long tract signs: a severe form of Hirayama disease.
We describe an 18-year-old male with cervical flexion myelopathy with Hirayama disease-like features who showed apparent long tract signs. He first experienced insidious-onset hand muscle weakness and atrophy at the age of 15. Subsequently, he developed sensory disturbance in his lower limb. Neurological examination revealed atrophy and weakness in the right hand and forearm, pyramidal signs in...
متن کاملStroke presenting with monoparesis in the lower limb.
An 81-year-old hypertensive man suddenly developed gait disturbance. Neurologic examination revealed monoparesis; Barré’s and Mingazzini’s signs were present in the lower right limb, and he was unstable when standing on his right foot. There was no weakness in flexion or dorsiflexion of the right ankle. Sensory loss was unremarkable. His proximal weakness was compatible with pyramidal weakness;...
متن کاملCERVICAL SPONDYLOTIC MYELOPATHY: THE PATTERN OF NEUROLOGIC DEF ICITS AND IMPROVEMENT FOLLOWING ANTERIOR
We evaluated the specific pattern of pre- and postoperative neurological signs and symptoms of cervical spondylotic myelopathy (CSM) to determine [mdings which had a predictive value for surgical outcome. Consecutive patients with CSM caused by osteophytic ridge or intervertebral disc herniation who underwent anterior cervical decompression and fusion in Loghman Hakim Hospital from 1999-200...
متن کامل