Patient With Progressive Pain and Neurological Findings

A 27 - year - old woman suffered from increased neck pain and limb weakness. She said that this pain lasted the past two years, but worsened over the past three months. She expressed the pain as a dull, persistent pain of severity 8/10. She explained that when the pain spreads on her shoulder it will spread to the right a bit. Ibuprofen did not ease the pain. The patient showed that her left arm and both limbs were weak.

The patient described the history of kidney stones. The patient denied incontinence or flank pain. The patient denied groin or back pain. | Scientific examination (comprehensive examination of each system, recording results) | nervous system (check all cranial nerves, exercise and organoleptic evaluation of 12) I - smell of skull with onion and naked eye smell of skull As you can see, it is intact. Cranial nerve Ⅱ - Snaren eyeball test 20/40 eyeball without shower correction lens. Binocular patients with orthodontic lenses are 20/20. Cranial nerves II, IV, VI - Students are equal, rounded and react to light and fitness. Movement outside the eye is within normal range. Cranial nerve V - masticatory muscles are equal on the left and right. Skull nerve VII - I noticed symmetry of the face. Facial nerve function appears in normal range. Cranial nerve VIII - normal auditory function, soft voice and normal conversation hearing

During the neurological examination, the neurologist confirms the patient's health history and pay particular attention to the current situation. The patient is then subjected to a neurological examination. Normally, this test tests for mental state, cranial nerve function (including vision), intensity, coordination, reflexes, and emotions. This information will help neurologists to determine if there is a problem with the nervous system and clinical position. Pathology localization is an important process for neurologists to develop differential diagnosis. Further examination may be required to confirm the diagnosis and ultimately lead to treatment and appropriate management

Hallervorden-Spatz Disease - Brain Iron Accumulation Neurodegeneration (NBIA) is a rare hereditary neurokinetic disorder characterized by progressive degeneration of the nervous system. Symptoms vary widely from patient to patient and usually develop in childhood and cause slow twists, twist of limbs, contraction of the muscles of the face and torso, immobile motion of the limbs (unconscious, meaningless muscle movement), muscle There are stiffness of the. Muscle uncontrollable tension), convulsions (sudden, involuntary muscle cramping), ataxia (not adjustable movement), confusion, disorientation, seizures, coma, and dementia