Diagnosis and management of motor neurone disease
Open accessAbstract
Motor neurone disease is a devastating illness which leads to progressive paralysis and eventual death. We will discuss the presentation of motor neurone disease in primary care and update non-specialists on progress with regards to life prolonging interventions, better control of disease symptoms, and an increased understanding of disease mechanisms. Motor neurone disease is rare but patients often are aware of it, so this review should help non-specialists reassure patients in whom it is unlikely to be the diagnosis.
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Approximately 20% of people living with ALS experience initial changes in the brainstem (bulbar) region, resulting in dysarthria.
“Approximately 20% of plwALS experience initial changes in the brainstem (bulbar) region of the brain, resulting in dysarthria (McDermott and Shaw, 2008).”
From Dysarthria and other-initiated repair in everyday conversation (2020) · cites this paper as McDermott and Shaw, 2008
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- Authors
- McDermott, C. J., & Shaw, P. J.
- Affiliations
- University of Sheffield (GB)
- Corresponding author
- McDermott, Christopher J
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2008-03-20
- Volume
- 336
- Issue
- 7645
- Pages
- 658-662
- ISSN
- 1756-1833 (ISSN-L)
- 0959-8138
- PMC
- PMC2270983
- OpenAlex
- W1993915028
- Cited by
- 220
- References
- 28
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 12 · 2023: 11 · 2022: 14 · 2021: 11 · 2020: 35 · 2019: 14 · 2018: 8 · 2017: 15 · 2016: 11 · 2015: 16 · 2014: 9 · 2013: 12 · 2012: 9
- FWCI
- 4.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
- Health Sciences › Medicine › Neurology › Peripheral Neuropathies and Disorders
- Keywords
- motor neuron disease, diagnosis, management, primary care, symptom management, disease mechanisms, progressive paralysis, patient reassurance
- MeSH terms
- Antioxidants, Diagnosis, Differential, Humans, Physician-Patient Relations, Respiratory Therapy, Motor Neuron Disease, Neuroprotective Agents, Riluzole
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