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Standing Neurophysiological Assessment of Lower Extremity Muscles Post-Stroke
Published on: July 26, 2021
Exercise-associated numbness and tingling in the legs
Lydia Sharp1, Lee Pride, Derek Mathis
1Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-9036, USA.
Archives of Neurology
|December 14, 2011
Summary
A physically active man experienced worsening leg numbness and pain, along with urinary difficulties. These symptoms suggest a potential neurological or vascular issue requiring medical investigation.
Area of Science:
- Neurology
- Vascular Medicine
- Urology
Background:
- A 52-year-old male with a history of coronary artery disease, hypertension, and hyperlipidemia.
- Presented with progressive neurological and urological symptoms over one year.
Observation:
- Initial intermittent numbness and tingling in the legs, exacerbated by physical activity (running, soccer) and relieved by rest.
- Progression to constant numbness, bilateral leg pain radiating from the popliteal fossa to the heel (left leg more severe).
- Recent onset of constipation and difficulty initiating urination.
Findings:
- The constellation of symptoms suggests a possible compromise of neurological pathways or vascular supply to the lower extremities and pelvic region.
- Differential diagnoses may include peripheral neuropathy, vascular claudication, or spinal stenosis, potentially exacerbated by underlying cardiovascular risk factors.
Implications:
- Early diagnosis and management are crucial to prevent further symptom progression and potential long-term complications.
- This case highlights the importance of considering multifactorial etiologies in patients with complex, progressing symptoms.
- Further investigation is warranted to determine the precise cause and guide appropriate therapeutic interventions.
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