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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". A less well-known and uncommon paresthesia is formication, the sensation of insects crawling on the skin.
Lhermitte sign is not attributed to its discoverer. [12] It was first described by Pierre Marie and Chatelin in 1917. [13] Jean Lhermitte, a French neurologist and neuropsychiatrist, did not publish his first report until 1920. [14] However, in 1924 he did publish the seminal article on the subject which resulted in it becoming well known. [15]
Feeling this would indicate an organic cause of the paresis. If the examiner does not feel the "normal" leg's heel pushing down as the patient flexes the hip of the "weak" limb, then this suggests functional weakness (sometimes called "conversion disorder"), i.e. that effort is not being transmitted to either leg. [citation needed]
leg; Chronic pain; I feel: Chills; Fever; Paresthesia (numbness, tingling, electric tweaks) Light-headed; Dizzy Dizzy – about to black out; Dizzy – with the room spinning around me; My mouth is dry; Nauseated; Sick like I have the flu; like I have to vomit; Short of breath; Sleepy; Sweaty; Thirsty; Tired; Weak; I can't: Breathe normally ...
Of patients that enrolled in a 1, 3, 6, 12 and 24 month study, perceived weakness was reported in 35.3%, 47.1% experienced numbness, 70.6% had tingling, cramps were present in 64.7% and after 24 months, only 5% had their symptoms resolved. Of all the patients, none developed Motor Neuron Disease. [11]
It is sometimes described as feeling like acid under the skin. Burning dysesthesia might accurately reflect an acidotic state in the synapses and perineural space. Some ion channels will open to a low pH , and the acid sensing ion channel has been shown to open at body temperature, in a model of nerve injury pain.
Other motor symptoms include gait and posture disturbances such as decreased arm swing, a forward-flexed posture, and the use of small steps when walking; speech and swallowing disturbances; and other symptoms such as a mask-like facial expression or small handwriting are examples of the range of common motor problems that can appear. [1]
Main symptoms of multiple sclerosis Symptoms and findings in multiple sclerosis. Multiple sclerosis can cause a variety of symptoms varying significantly in severity and progression among individuals: changes in sensation (hypoesthesia), muscle weakness, abnormal muscle spasms, or difficulty moving; difficulties with coordination and balance; problems in speech or swallowing (), visual ...