Woman Wakes Up With Bilateral Leg Numbness

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Woman Wakes Up With Bilateral Leg Numbness - Page #1

Author: Joshua Cheng, PhD Co Author #1: Salvatore Capotosto Co Author #2: Kamalpreet Buttar Senior Editor: Jessalynn Adam, MD Editor: Andrew Li-Yung Hing, MD Patient Presentation: A 60-year-old woman presented with bilateral leg numbness. History: She experienced a one-week history of bilateral leg numbness, which initially presented upon waking. Over the period of a week, he had gradual ascending numbness involving both legs up to the waist. It affected her ability to ambulate and she developed an unsteady gait, with subsequent development of paresthesias in her legs which were most prominent at night. She denied any bowel or bladder incontinence, back pain, neck pain, saddle anesthesia, fevers, night sweats, weight changes, tick bites, rashes or muscle pain. Physical Exam: Her systolic blood pressure was elevated to 180, other vitals within normal limits. No paraspinal or spinal tenderness elicited on palpation. Straight leg test was negative bilaterally. Cranial nerves II-XII intact. Motor bulk and tone were intact in all extremities. Strength was 5/5 in all extremities both proximally and distally. Hyperesthesia to palpation below L3/L4. Absent sensation to vibration bilaterally in the toes and ankle joints. Reflexes were 2+ diffusely. Romberg was positive, unsteady gait. Extremities were well perfused with palpable pulses, no edema. No obvious skin rashes present. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC