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 EMQ 7

 

   

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EMQ: 7

Lower limb weakness

a)      Hereditary motor sensory neuropathy

b)      Multiple sclerosis

c)      Cauda equina lesion

d)      Parasagittal meningioma

e)     Syringomyelia

f)        Guillain-Barre syndrome

g)      Spinal cord compression

h)      Subacute combined degeneration of the cord

i)        Motor neurone disease

j)        Tabes dorsalis

1) A 26-year-old female with spastic paraparesis and optic neuritis

2) A 65-year-old female with lower limb weakness, with absent ankle jerks and upgoing plantar response. There is loss of joint position sense and vibration sense in both feet.

3) A 75-year-old male with prostate cancer presents with backache and evidence of a spastic paraparesis and incontinence of urine and faeces

4) A 28-year-old female presents with rapidly progressive weakness in her lower limbs. There is a history of a diarrhoeal illness preceding the onset of the problem. On examination she has a flaccid weakness and tendon reflexes are absent.

5) A 50-year-old man with spastic paraparesis, exaggerated reflexes and upgoing plantars. The upper limb muscles are wasted and show fasiculations. No sensory involvement.

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