Paralysis and Paresis
Paralysis and Paresis: Excerpt from A Pocket Manual of Differential Diagnosis
Acute (Developing in Hours)
Spinal cord injury
Spinal cord hemorrhage (secondary to vascular malformation, coagulopathy, anticoagulant therapy, trauma)
Spinal cord infarct (secondary to spinal artery thrombosis, embolism, vasculitis)
Dissecting aortic aneurysm
Aortic thrombosis
Acute necrotizing myelitis
Profound hypokalemia (serum K
+ <2.5 mEq/L)
Hyperkalemic or hypokalemic periodic paralysis
Hypermagnesemia
Subacute (Developing in Days)
Guillain-Barré syndrome
Myelitis
Viral (especially polio, rabies, herpes zoster)
Postinfectious (especially after measles, smallpox, chickenpox)
Subacute pyogenic meningomyelitis
Tuberculous meningomyelitis
Acute demyelinating myelitis (e.g., multiple sclerosis)
Acute necrotizing myelitis
Rhabdomyolysis
Crush injury
Excessive muscular activity
Muscle infarction secondary to prolonged pressure and ischemia
Polymyositis, viral or idiopathic
Diphtheritic polyneuropathy
Botulism
Spinal cord or epidural abscess
Spinal cord compression (e.g., secondary to tumor)
Slow (Developing over Weeks to Months)
Severe peripheral neuropathy
Multiple cerebrovascular accidents (bilateral hemiplegia)
Polymyositis
Infection-associated
Viral infection
Syphilis
Tuberculosis
Toxoplasmosis, other protozoan or fungal infections
Trichinosis, other helminthic infections
Associated with connective-tissue disease (e.g., systemic lupus erythematosus, rheumatoid arthritis, Sjögren's syndrome)
Associated with carcinoma
Idiopathic
Cervical spondylosis
Ankylosing spondylitis
Paget's disease
Pott's disease
Subacute combined degeneration of the spinal cord
Neurosyphilis (syphilitic meningomyelitis, tabes dorsalis)
Spinal arachnoiditis (e.g., after subarachnoid hemorrhage, meningitis, subarachnoid space injection)
Chronic epidural infection or granuloma (e.g., tuberculous, parasitic, fungal)
Electrical or radiation injury of spinal cord
Multiple sclerosis
Syringomyelia
Amyotrophic lateral sclerosis
Childhood (or Young Adulthood) Onset
Congenital
Cerebral spastic diplegia
Anomalies of spinal cord or vertebrae
Hereditary disease
Werdnig-Hoffmann disease
Muscular dystrophies
Friedreich's ataxia
Chronic polyneuropathies
Niemann-Pick disease
Tay-Sachs disease
References
1. Clacy RK, Aminoff MJ: Weakness, Abnormal Movements and Imbalance, p. 107. See Bibliography, 5.
2. Sweeney VP: Approach to the Patient with Sensory Loss and Weakness, p. 2361. See Bibliography, 3. >
Book Source Details
- Book Title: A Pocket Manual of Differential Diagnosis
- Author(s): Stephen N. Adler, Dianne B. Gasbarra
- Year of Publication: 1999
- Copyright Details: A Pocket Manual of Differential Diagnosis, Copyright © 1999 Lippincott Williams & Wilkins.
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Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.
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Poliomyelitis (Professional Guide to Diseases (Eighth Edition))
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