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Upper Limb Neuro

Multiple Sclerosis

February 15th, 2021


  • Signs of Multiple Sclerosis

  • Signs of optic neuritis - reduced visual acuity, central visual loss, optic disc atrophy
  • Internuclear ophthalmoplegia - inability to adduct one eye, with nystagmus in the other eye
  • Lhermitte's sign - electric sensation in the limbs on neck flexion
  • Upper motor neuron weakness - increased tone, reduced power, hyperreflexia
  • Dorsal column (vibration / proprioception) sensory loss
  • Signs of cerebellar involvement - ataxia, dysarthria, dysmetria, dysdiadochokinesis, nystagmus
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