a) Spinal-Onset ALS
b) Progressive Muscular Atrophy
c) Progressive Bulbar Palsy/Bulbar-onset ALS
d) Facial onset sensory and motor neuronopathy (FOSMN)
e) Flail-arm syndrome (Vulpian-Bernhardt syndrome): LMN upper limbs and UMN (usually only brisk reflexes in lower limbs)
Jan 1 • 24 tweets • 7 min read
Midbrain Syndromes: Parinaud, Weber, Benedikt, Claude and Nothnagel.
"It is likely possible to learn more about neurologic status from watching a patient walk than from any other single procedure, and observation of gait should always be part of a neurologic examination."
Nov 9, 2022 • 14 tweets • 4 min read
Seizure semiology and localization: not everything is generalized onset tonic-clonic. 🧠⛈️
This tweetorial is based on:
Epilepsy Behav. 2005 Aug;7(1):1-17.
This paper was written using the previous classification system and some data may need an update, nevertheless I find it useful when teaching about seizure semiology. 📓
As the 2017 ILAE Classification of Seizure types states, there are many signs and symptoms that can have an epileptic origin. Some of them are motor and others are non motor.
Oct 30, 2022 • 4 tweets • 1 min read
Today's reflection: brain health. 🧠🏥
"Concentrating on brain health provides a logical, unifying,motivating, and promising approach to preventing disease. After all, the brain is the agent of all our actions and the mediator of all our experiences.
It is the only organ that cannot be transplanted and that can be changed literally by talking to it. It can perform 1 billion billion calculations per second and unlike artificial intelligence, can imagine, create, and anticipate.
Oct 26, 2022 • 22 tweets • 7 min read
REM Sleep Behavior Disorder (RBD): what Miguel de Cervantes and Cinderella taught us. 😴😴💤🧠🧠👸✍️