Lower motor neuron lesion

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Lower motor neuron lesion
Spinal nerve.svg
Lower motor neuron in red
Classification and external resources
DiseasesDB 22143

A lower motor neuron lesion is a lesion which affects nerve fibers traveling from the ventral horn or anterior grey column of the spinal cord to the relevant muscle(s) – the lower motor neuron.[1]

One major characteristic used to identify a lower motor neuron lesion is flaccid paralysis – paralysis accompanied by loss of muscle tone. This is in contrast to an upper motor neuron lesion, which often presents with spastic paralysis – paralysis accompanied by severe hypertonia.

Symptoms[edit]

The extensor Babinski reflex is usually absent. Muscle paresis/paralysis, hypotonia/atonia, and hyporeflexia/areflexia are usually seen immediately following an insult. Muscle wasting, fasciculations and fibrillations are typically signs of end-stage muscle denervation and are seen over a longer time period. Another feature is the segmentation of symptoms - only muscles innervated by the damaged nerves will be symptomatic.

Etiology[edit]

Most common causes of lower motor neuron injuries are trauma to peripheral nerves that sever the axons - a virus that selectively attacks ventral horn cells. Disuse atrophy of the muscle occurs i.e., shrinkage of muscle fibre finally replaced by fibrous tissue (fibrous muscle) Other causes include Guillain–Barré syndrome, C. botulism, polio, and cauda equina syndrome; another common cause of Lower Motor neuron degeneration is Amyotrophic lateral sclerosis.

Differential Diagnosis[edit]

  • Myasthenia gravis - synaptic transmission at motor end-plate is impaired
  • Amyotrophic lateral sclerosis - causes death of motor neurons, although exact cause is unknown it has been suggested that abnormal built-up of proteins proves toxic for the neurons.

See also[edit]

References[edit]

  1. ^ James D. Fix (1 October 2007). Neuroanatomy. Lippincott Williams & Wilkins. pp. 120–. ISBN 978-0-7817-7245-7. Retrieved 17 November 2010. 

External links[edit]