Bao Quoc Nguyen MD
Medical doctor from Hue University of Medicine and Pharmacy
Vertigo is a false feeling of motion caused by dysfunction of the inner ear or the central vestibular system. This is a common complaint from patients in a primary care setting and emergency room. A thorough neurological examination and history taking are crucial to narrow down the diagnosis. Physicians need to apply the correct bedside testing to the right patient to avoid unnecessary neuroimaging.
Restless legs syndrome (RLS) (also known as Willis-Ekbom disease) is characterized by an intense crawling sensation deep inside the lower legs. Most cases are familial but can be secondary to an underlying illness. Management includes treating underlying diseases, nonpharmacologic therapy, and pharmacological therapy. Severe RLS may spread to the arms and significantly reduce the quality of life. This chapter discusses etiology, pathophysiology, clinical features, diagnostic evaluation, and management of RLS.
Chronic inflammatory demyelinating polyneuropathy (CIDP) is a rare immune-mediated disorder affecting the peripheral nervous system. Typical manifestations include proximal and distal sensory and motor impairment in four limbs, developing over more than eight weeks.
Carpal Tunnel Syndrome (CTS) is the most common entrapment neuropathy caused by the median nerve compression at the wrist level. Early symptoms include pain, numbness, and tingling, mainly in hand. Those symptoms, unfortunately, are often being overlooked by patients and even physicians, resulting in hang hypotrophy in the later stage. Rapid response has been observed in response to short-term oral corticosteroids. Other measures include splinting, local steroid injection, and carpel ligament release surgery. To provide a better understanding of CTS, this chapter highlights the etiology, clinical features, diagnostic evaluation, management, and prognosis of this condition