Multineuraxial illness ( CNS + PNS Demyelination)
Posts
74 M with Difficulty in chewing, Dysphagia, Slurred speech - Gen. Myasthenia Gravis
CT Thorax with contrast :- No thymoma Thyroid profile:- Normal 19/8/2024 :- On follow up patient has improvement in symptoms 1.Escalated the steroid T.Omnocotril 10mg 1-----0-----0 2.T.Azarid 50 1-----0-----0 3) T.Gravitor 60mg 1------1-----1 4)T.Benfogain D3 0-----1-----0 5) R/A 1 month
Case presentation:- 65yr F Quadriparesis with UMN & LMN Type :- Upper Cervical Cord vs ALS+
CHIEF COMPLAINTS:- A 65yr old lady, right handed individual, who is a house wife presented with a chief complaints of 1.Difficulty in walking since 2yrs 2.weaknes in both upper limbs since 1yr HOPI Pt was a/a 2yrs back then she started developing weakness in both lower limbs which was insidious in onset & gradually progressive and is associated with stiffness in limbs with tripps and Falls, around 5 to 6 episodes without Loc. No h/o buckling seen. she also noticed difficulty in wearing chappals in the form of difficulty in insunating toes, holding, Removing feet from the chappals & is associated with slippage of foot wear with her knowledge. So she stopped wearing chappals from then. At the same time she noticed difficulty in getting up from squatting position for which she used to take support from walls & initially with the help of stick she is able to walk as the difficulty progressed she started using walker since past 1yr. Since 1yr patient also noticed diff...
24 M with Primary progressive Multiple sclerosis
FINAL DIAGNOSIS 1. Primary progressive Multiple sclerosis CHIEF COMPLAINTS & HISTORY OF PRESENT ILLNESS Tremulousness since 4 years Swaying while walking since 1 year Slurring of speech since 6 months Patient was a/a normal 4 years back, started with Tremulousness of left hand during his routine activities. 20 days later started in Right hand. 1 year later Patient noticed Swaying while walking towards left side with imbalance during walking. Imbalance present whenever he closes eyes like during washing his face. Patient went elsewhere with these complaints along with B/L knee pains was treated for 3 months. Patient noticed complete resolution of symptoms within 10 days. Patient was symptom free for 3 months and then Patient noticed recurrence of symptoms 10 days later. Then Patient had Slurring of speech since 6 months and buckling of knees when he does namaz. Paroxysmal vertigo since 1 year PAST MEDICAL HISTORY Not a K/C/O Hypertension, T2DM, Cardiac d...
