Tremors affect hands and feet face tongue and lips

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Tremors affect hands and feet, face, tongue, and lips Increased muscle rigidity Difficulty initiating movements Characteristics standing is stooped, leaning forward with propulsive gait Complex activities become slow and difficult Amyotrophic Lateral Sclerosis (ALS) Lou Gehrig disease with no identified cause Progressive degenerative disease affecting upper motor neurons and lower motor neurons Cognition unimpaired (they understand everything you’re telling them, their brain is not affected by this) Loss of upper motor neurons in cerebral cortex
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Spastic paralysis, Hyperreflexia, and flaccid paralysis Decreased muscle tone and reflexes Progressive weakness and loss of fine motor coordination Stumbling and falls are common Death occurs due to respiratory failure Treatment No specific treatment to slow degeneration Stem cell therapy under investigation Riluted (drug) to slow further damage to neurons- only extended the use of the diaphragm for 4 months Moderate exercise and rest Respiratory therapy, appropriate nutrition, speech pathology, occupational therapy, physical therapy, psychological treatment Multiple Sclerosis (MS) Progressive demyelination of neurons in the brain, spinal cord, and cranial nerves Different types of MS : variation in effects, severity, and progression Loss of myelin interferes with conduction of impulses in affected fibers May affect motor, sensory, and autonomic nerve fibers Occurs in diffuse patches in the nervous system Cause is unknown, usually occurs in ages 20 to 40 May have a genetic, immunologic, and environment component Earliest lesions occur as an inflammatory response as cells that normally do not enter the brain or spinal cord do so and attack neurons, with loss of myelin in the white matter of the brain and spinal cord Later, large areas of inflammation and demyelination, termed plaques become visible, frequently beside the lateral ventricles in the brain, in the brain stem, and optic nerves Recurrence Initial inflammation may subside Neural function may return to normal for short period and in time, become irreversible Each recurrence causes additional areas of the CNS to become affected MS varies in severity Signs and Symptoms (some may apply) Lesions and plaque showing up on the MRI are indications Manifestations determined by areas of demyelination Blurred vision; weakness in legs Diplopia (double vision), scotoma (spot in visual field) Dysarthria Paresthesia, areas of numbness, burning, tingling Progressive weakness and paralysis extending to the upper limbs Loss of coordination: bladder, bowel, and sexual dysfunction; chronic fatigue Diagnostic test: no definite tests, MRI for diagnosis and monitoring Treatment: no definite treatment approved at this time, several research trials are in progress, therapy include physical and occupational therapy, and manifestations require individual
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