Dysarthria: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Stroke Types=== | |||
*[[Ischemic Stroke]] | |||
**[[Cerebellar Stroke]] | |||
**[[Transient Ischemic Attack (TIA)]] | |||
*[[Hemorrhagic Stroke]] | |||
**[[Intracerebral Hemorrhage]] | |||
**[[Subarachnoid Hemorrhage (SAH)]] | |||
{{Stroke DDX}} | |||
*===[[Weakness]]=== | |||
*'''Neuromuscular weakness''' | |||
**UMN: | |||
*** [[CVA (Main)]] | |||
*** [[Hemorrhagic stroke]] | |||
*** [[Multiple sclerosis]] | |||
*** [[Amyotrophic Lateral Sclerosis (ALS)]] (UMN & LMN) | |||
**Spinal cord disease: | |||
*** Infection ([[Epidural Abscess (Spinal)]]) | |||
*** Infarction/ischemia | |||
*** Trauma ([[Spinal Cord Syndromes]]) | |||
*** Inflammation ([[Transverse Myelitis]]) | |||
*** Tumor | |||
**Peripheral nerve disease: | |||
*** [[Guillain-Barre syndrome]] | |||
*** Toxins ([[Ciguatera]]) | |||
*** [[Tick paralysis]] | |||
*** DM neuropathy (non-emergent) | |||
**NMJ disease: | |||
*** [[Myasthenia gravis]] crisis | |||
*** [[Botulism]] | |||
*** [[Organophosphate toxicity]] | |||
*** [[Lambert-Eaton myasthenic syndrome]] | |||
**Muscle disease: | |||
*** [[Rhabdomyolysis]] | |||
*** [[Dermatomyositis]] | |||
*** [[Polymyositis]] | |||
*** Alcoholic myopathy | |||
*'''Non-neuromuscular weakness''' | |||
**Can't miss diagnoses: | |||
*** [[Sepsis (Main)]] | |||
*** [[Hypoglycemia]] | |||
*** Periodic paralysis (electrolyte disturbance, K, Mg, Ca) | |||
****[[Hypokalemic periodic paralysis]] | |||
****[[Thyrotoxic periodic paralysis]] | |||
*** Respiratory failure | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 02:43, 18 February 2016
Background
- Motor speech disorder characterized by poor articulation of language sounds or pronounciation[1]
Clinical Features
Differential Diagnosis
Stroke Types
Stroke-like Symptoms
- Stroke
- Seizures/postictal paralysis (Todd paralysis)
- Syncope
- Subdural hemorrhage
- Epidural hemorrhage
- Hypoglycemia
- Hyponatremia
- Meningitis/encephalitis
- Hyperosmotic Coma
- Labyrinthitis
- Drug toxicity
- Bell's Palsy
- Complicated migraine
- Meniere Disease
- Demyelinating disease (MS)
- Conversion disorder
- Transient global amnesia
- Giant cell arteritis
- Cerebral sinus thrombosis
- ===Weakness===
- Neuromuscular weakness
- UMN:
- Spinal cord disease:
- Infection (Epidural Abscess (Spinal))
- Infarction/ischemia
- Trauma (Spinal Cord Syndromes)
- Inflammation (Transverse Myelitis)
- Tumor
- Peripheral nerve disease:
- Guillain-Barre syndrome
- Toxins (Ciguatera)
- Tick paralysis
- DM neuropathy (non-emergent)
- NMJ disease:
- Muscle disease:
- Rhabdomyolysis
- Dermatomyositis
- Polymyositis
- Alcoholic myopathy
- Non-neuromuscular weakness
- Can't miss diagnoses:
- Sepsis (Main)
- Hypoglycemia
- Periodic paralysis (electrolyte disturbance, K, Mg, Ca)
- Respiratory failure
- Can't miss diagnoses:
Diagnosis
Management
Disposition
See Also
External Links
References
- ↑ Duffy, J. Defining, Understanding, and Categorizing Motor Speech Disorders. In: Duffy, J. Motor Speech Disorders: Substrates, Differential Diagnosis, and Management. 3rd ed. . St. Louis, Mo: Elsevier Mosby; 2012 ISBN 0323024521.