LMN, Lower Motor Neuron: Difference between revisions

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===Clinic===
===Clinic===
*LMN nerve fibers traveling from the lower motor neuron(s) in the Anterior horn of the spinal cord, or in the motor nuclei of the cranial nerves, to the relevant muscle(s).
*LMN nerve fibers traveling from the lower motor neuron(s) in the Anterior horn of the spinal cord, or in the motor nuclei of the cranial nerves, to the relevant muscle(s).
*[[Upper motor neuron, UMN|UMN]] (Upper motor neuron lesion) often presents with spastic paralysis – paralysis accompanied by severe hypertonia.
*[[Upper motor neuron, UMN|UMN]] (Upper motor neurons) are often efferent nerve fibers that carry signals from the cerebral cortex to either the [[Brainstem|brain-stem]] or the spinal cord.
*LMN lesions are characterized [[Hypotonia miasms|Hypotonia]] or flaccid opposed to UMN lesions which present with hypertonia or spastic paralysis.




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{| class="wikitable"
{| class="wikitable"
!Dynamic  
!Dynamic  
!Miasms
!Static
!Static
|-
|-
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* [[Progressive muscular atrophy]]
* [[Progressive muscular atrophy]]
* [[Monomelic amyotrophy]]
* [[Monomelic amyotrophy]]
|Viruses that selectively attack ventral horn cells such as
*[[WNE, West Nile Encephalitis|WNE]]
*[[PLV, Polio Virus|PLV]]
|
|
* Trauma to peripheral nerves
* Trauma to peripheral nerves
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*[[Myasthenia gravis]]
*[[Myasthenia gravis]]


*Hypotonia / Flaccidity
*[[Hypotonia]] / [[Flaccid Paralysis|Flaccidity]]
*Ipsilateral (same side) weakness of individual muscles.
*Ipsilateral (same side) weakness of individual muscles.
*Atrophy
*Atrophy
*Weak or absent deep tendon plantar reflexes and abdominal reflexes
*Weak or absent deep tendon plantar reflexes and abdominal reflexes
*Fasciculations (Twitching)
*Fasciculations (Twitching)
===Miasms===
Viruses that selectively attack ventral horn cells such as
*[[WNE, West Nile Encephalitis|WNE]]
*[[PLV, Polio Virus|PLV]]

Latest revision as of 23:11, 22 November 2023

Clinic

  • LMN nerve fibers traveling from the lower motor neuron(s) in the Anterior horn of the spinal cord, or in the motor nuclei of the cranial nerves, to the relevant muscle(s).
  • UMN (Upper motor neurons) are often efferent nerve fibers that carry signals from the cerebral cortex to either the brain-stem or the spinal cord.
  • LMN lesions are characterized Hypotonia or flaccid opposed to UMN lesions which present with hypertonia or spastic paralysis.


Entities


Causes

Dynamic Miasms Static
Viruses that selectively attack ventral horn cells such as
  • Trauma to peripheral nerves
  • Cauda equina syndrome

Differential diagnosis

  • Hypotonia / Flaccidity
  • Ipsilateral (same side) weakness of individual muscles.
  • Atrophy
  • Weak or absent deep tendon plantar reflexes and abdominal reflexes
  • Fasciculations (Twitching)