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Diagnosis is based on clinical signs and symptoms with exclusion of similar conditions. There are no validated diagnostic criteria. [ 6 ] The principal differential diagnosis to consider is amyotrophic lateral sclerosis or a related motor neuron disorder: the chief distinction between the two is the presence of sensory abnormalities in FOSMN ...
Some sufferers (10–15%) report various pains growing in severity with progression of the disease. [1] The nerves most commonly affected are the peroneal nerve at the fibular head (leg and feet), the ulnar nerve at the elbow (arm) and the median nerve at the wrist (palm, thumbs and fingers), but any peripheral nerve can be affected.
The absence of proprioception or two-point tactile discrimination on one side of the body suggests injury to the contralateral side of the primary somatosensory cortex. . However, depending on the extent of the injury, damage can range in loss of proprioception of an individual limb or the entire
Paresthesia may be transient or chronic, and may have many possible underlying causes. [1] Paresthesias are usually painless and can occur anywhere on the body, but most commonly occur in the arms and legs. [1] The most familiar kind of paresthesia is the sensation known as "pins and needles" after having a limb "fall asleep".
Notalgia paresthetica is a common localized itch, affecting mainly the area between the shoulder blades (especially the T2–T6 dermatomes) but occasionally with a more widespread distribution, involving the shoulders, back, and upper chest.
This syndrome can be caused by anything which places prolonged pressure on the LFCN, such as wearing a tight belt. [4] [2] [3] The diagnosis is typically done via clinical examination and patient history, followed by a diagnostic nerve block. [4] [2] [6] [3] The condition will often resolve on its own within two years even without treatment. [9]
This syndrome can begin with severe shoulder or arm pain followed by weakness and numbness. [5] Those with Parsonage–Turner experience acute, sudden-onset pain radiating from the shoulder to the upper arm. Affected muscles become weak and atrophied, and in advanced cases, paralyzed. Occasionally, there will be no pain and just paralysis, and ...
Claude's syndrome is a form of brainstem stroke syndrome characterized by the presence of an ipsilateral oculomotor nerve palsy, contralateral hemiparesis, contralateral ataxia, and contralateral hemiplegia of the lower face, tongue, and shoulder. Claude's syndrome affects oculomotor nerve, red nucleus and brachium conjunctivum. [1]