Neurology Community
weakness in both legs
About This Community:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

weakness in both legs

58 year old male patient started feeling weakness in both his legs 7 months ago, could stand but felt weak in both legs. he also had a mild but tolerable dyspnea, able to lie fully flat. several months later weakness got worse and would frequently fall. 1 month ago felt pain on the left side of his back and also experienced diaphoresis. urination and defecation remained normal. on examination. there was a 1x2 cm hard nodule on the right supraclavicular area. right lung had lag in expansion, decreased breath sounds, and dullness on percussion. both legs had a strength grading of 3/5 upper extremities normal. legs had decresed sensation and reflexes. cerebellar and cranial nerve functions intact. on the 2nd hospital day 1-2 liters of bloody pleural fluid was extracted from the right lung during a thoracentesis. what could this be?
Tags: weakness, legs
Related Discussions
3 Comments Post a Comment
Blank
368886_tn?1278962315
Hello.

I would like to ask if you have got a consultation from a respiratory medicine specialist, or a pulmonologist.

The lower limb weakness looks to be due to impingement at lower spinal level.

I would recommend that you get and MRI of the spine done.

Please keep me posted.

Regards
Blank
Avatar_n_tn
well i was considering it might be lung cancer which metastasized to the spine. but since the weakness occured around the same time as the dyspnea instead of later in the course of the disease, i was thinking it might be small cell cancer of the lung manifesting with a paraneoplastic syndrome such as lambert-eaton syndrome. it explains the weakness and the decreased reflexes in the legs, what do you think?
Blank
368886_tn?1278962315
Hello.

I am sorry for the late response.

Can you confirm if the muscle weakness improves upon repetitive contraction ?

Regards
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Neurology Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
This is Driving Your Emotional Eati...
Jul 02 by Roger Gould, M.D.Blank
5856747_tn?1403352282
Blank
Sleep Apnoea
Jun 28 by Andrew John Rynne, MDBlank
Top Neurology Answerers
620923_tn?1404844667
Blank
selmaS
Allentown, PA
144586_tn?1284669764
Blank
caregiver222
Avatar_m_tn
Blank
Ball123
1689801_tn?1333986916
Blank
Dagun
Iceland
352007_tn?1372861481
Blank
LisaJF
1780921_tn?1384615710
Blank
flipper336
Chandler, AZ