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A Case of an Older Woman Who Cannot Lift Her Right Foot

Discussion in 'General Issues and Discussion Forum' started by Elizabeth Walsh, Aug 23, 2008.

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  1. Elizabeth Walsh

    Elizabeth Walsh Active Member


    Members do not see these Ads. Sign Up.
    From www.medscape.com
    (You would need to register, and search for the rest of this article)

     
  2. David Wedemeyer

    David Wedemeyer Well-Known Member

    Given the slow progression of symptoms and asymmetric pattern of ascending spinothalamic and descending tracts, I would suggest Syringomyelia vs. upper motor neuron insult due to stroke or neoplasm.
     
  3. David Wedemeyer

    David Wedemeyer Well-Known Member

    I reread this today and found that there was a great deal more history and discussion available. I have a family member with Buerger's Disease, it is a horrible condition. There are various vasculitides and they are often difficult to diagnose according to a friend who is a neurologist.
     
  4. Elizabeth Walsh

    Elizabeth Walsh Active Member

    David,

    I didn't post the full article as it seemed too long.

    Despite not having read the full history of this case,
    your diagnosis demonstrated a wealth of knowledge anyway!

    It's good to see a chiropractor contributing to the arena.:drinks

    Elizabeth
     
  5. David Wedemeyer

    David Wedemeyer Well-Known Member

    Hello Elizabeth

    Thank you for posting that I enjoy differential dx puzzles. The truth is patients such as that one would be promptly referred out but I do see a variety of neurologic complaints, often as a first contact.

    And thank you the compliment and warm welcome.

    David
     
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