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6-Step Approach to Acute Motor Weakness

By Anton Helman, MD, CCFP(EM), FCFP | on July 27, 2021 | 0 Comment
EM Cases
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References

  1. Balogh EP, Miller BT, Ball JR, eds. Improving diagnosis in health care. Washington, DC: National Academies Press; 2015.
  2. Saguil A. Evaluation of the patient with muscle weakness. Am Fam Physician. 2005;71(7):1327-1336.
  3. Asimos A. Weakness: a systematic approach to acute, non-traumatic, neurologic and neuromuscular causes. Emerg Med Pract. 2002;4(12):1-26.
  4. Gautier JC. Stroke-in-progression. Stroke. 1985;16(4):729-733.
  5. Roper J, Fleming ME, Long B, et al. Myasthenia gravis and crisis: evaluation and management in the emergency department. J Emerg Med. 2017;53(6):843-853.
  6. Parton A, Malhotra P, Husain M. Hemispatial neglect. J Neurol Neurosurg Psychiatry. 2004;75(1):13-21.
  7. Li K, Malhotra PA. Spatial neglect. Pract Neurol. 2015;15(5):333-339.
  8. Garg N, Park SB, Vucic S, et al. Differentiating lower motor neuron syndromes. J Neurol Neurosurg Psychiatry. 2017;88(6):474-483.
  9. Anderson NE, Mason DF, Fink JN, et al. Detection of focal cerebral hemisphere lesions using the neurological examination. J Neurol Neurosurg Psychiatry. 2005;76(4):545-549.
  10. Hughes RAC, Cornblath DR. Guillain-Barre syndrome. Lancet. 2005;366(9497):1653-1666.
  11. Teitelbaum JS, Eliasziw M, Garner M. Tests of motor function in patients suspected of having mild unilateral cerebral lesions. Can J Neurol Sci. 2002;29(4):337-344.
  12. Amer M, Hubert G, Sullivan SJ, et al. Reliability and diagnostic characteristics of clinical tests of upper limb motor function. J Clin Neurosci. 2012;19(9):1246-1251.
  13. da Mota Gomes M. Jean-Alexandre Barré (1880–1967): his detection sign of subtle paresis due to pyramidal deficit (1919) and his work in line with that of Giovanni Mingazzini (1859–1929). Neurol Sci. 2019;40(12):2665-2669.

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Explore This Issue
ACEP Now: Vol 40 – No 07 – July 2021

Pages: 1 2 3 4 | Single Page

Topics: Guillain-Barré SyndromeNeurologyStroketest

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About the Author

Anton Helman, MD, CCFP(EM), FCFP

Dr. Helman is an emergency physician at North York General Hospital in Toronto. He is an assistant professor at the University of Toronto, Division of Emergency Medicine, and the education innovation lead at the Schwartz/Reisman Emergency Medicine Institute. He is the founder and host of Emergency Medicine Cases podcast and website (www.emergencymedicinecases.com).

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