Amyotrophic lateral sclerosis

Amyotrophic lateral sclerosis

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Ribonucleotide reductase inhibitors
Topoisomerase inhibitors
Platinum containing medications
Anti-tumor antibiotics
Microtubule inhibitors
DNA alkylating medications
Monoclonal antibodies
Antimetabolites for cancer treatment
Spina bifida
Chiari malformation
Dandy-Walker malformation
Syringomyelia
Tethered spinal cord syndrome
Aqueductal stenosis
Septo-optic dysplasia
Cerebral palsy
Spinocerebellar ataxia (NORD)
Transient ischemic attack
Ischemic stroke
Intracerebral hemorrhage
Epidural hematoma
Subdural hematoma
Subarachnoid hemorrhage
Saccular aneurysm
Arteriovenous malformation
Broca aphasia
Wernicke aphasia
Wernicke-Korsakoff syndrome
Kluver-Bucy syndrome
Concussion and traumatic brain injury
Shaken baby syndrome
Seizures and epilepsy
Febrile seizure
Early infantile epileptic encephalopathy (NORD)
Tension headache
Cluster headache
Migraine
Idiopathic intracranial hypertension
Trigeminal neuralgia
Cavernous sinus thrombosis
Alzheimer disease
Vascular dementia
Frontotemporal dementia
Dementia with Lewy bodies
Creutzfeldt-Jakob disease
Normal pressure hydrocephalus
Torticollis
Essential tremor
Restless legs syndrome
Parkinson disease
Huntington disease
Opsoclonus myoclonus syndrome (NORD)
Multiple sclerosis
Central pontine myelinolysis
Acute disseminated encephalomyelitis
Transverse myelitis
JC virus (Progressive multifocal leukoencephalopathy)
Adult brain tumors
Acoustic neuroma (schwannoma)
Pituitary adenoma
Pediatric brain tumors
Brain herniation
Brown-Sequard Syndrome
Cauda equina syndrome
Treponema pallidum (Syphilis)
Vitamin B12 deficiency
Friedreich ataxia
Neurogenic bladder
Meningitis
Neonatal meningitis
Encephalitis
Brain abscess
Epidural abscess
Sturge-Weber syndrome
Tuberous sclerosis
Neurofibromatosis
von Hippel-Lindau disease
Amyotrophic lateral sclerosis
Spinal muscular atrophy
Poliovirus
Guillain-Barre syndrome
Charcot-Marie-Tooth disease
Bell palsy
Winged scapula
Thoracic outlet syndrome
Carpal tunnel syndrome
Ulnar claw
Erb-Duchenne palsy
Klumpke paralysis
Sciatica
Myasthenia gravis
Lambert-Eaton myasthenic syndrome
Orthostatic hypotension
Horner syndrome
Congenital neurological disorders: Pathology review
Headaches: Pathology review
Seizures: Pathology review
Cerebral vascular disease: Pathology review
Traumatic brain injury: Pathology review
Spinal cord disorders: Pathology review
Dementia: Pathology review
Central nervous system infections: Pathology review
Movement disorders: Pathology review
Neuromuscular junction disorders: Pathology review
Demyelinating disorders: Pathology review
Adult brain tumors: Pathology review
Pediatric brain tumors: Pathology review
Neurocutaneous disorders: Pathology review

Flashcards

Amyotrophic lateral sclerosis

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Questions

USMLE® Step 1 style questions USMLE

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A 53-year-old male presents to his primary care PA with worsening hand and leg weakness. He often feels as if his left leg is “dragging” and experiences “spasms” while running. He additionally has difficulty holding a pen as firmly as he used to. Past medical history is notable for Graves disease. The patient does not smoke, use alcohol or other illicit substances. His temperature is 37.0°C (98.6°F), pulse is 65/min, respirations are 14/min, blood pressure is 125/64 mmHg, and O2 saturation is 98% on room air. Physical exam is notable for 4/5 strength in the right hand, with thenar muscle atrophy, as well as 4/5 strength in the left lower extremity. He has upgoing toes when the inner sole of the left foot is stroked. Which of the following best describes the pathophysiology of this disease?

Key Takeaways

Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is a neurodegenerative disease that affects both upper and lower motor neurons. Motor neurons reach from the brain to the spinal cord and from the spinal cord to muscles throughout the body. The progressive degeneration of these motor neurons leads to muscle weakness and atrophy.

ALS symptoms typically develop slowly over time. Early symptoms may include muscle weakness or stiffness, difficulty speaking, swallowing, or breathing. As the disease progresses, patients lose their ability to move and speak and eventually require total care. In some cases, people with ALS live for many years after diagnosis; however, most people with ALS die within a few years of diagnosis.