A 40-year-old man. A welder, uses manganese electrodes in his line of (18 years of experience). He complains of gait abnormalities, problems with speech and hand tremors. Objectively the following is observed in the patient hypomimia. Increased muscle tone of plastic type, and quiet monotonous speech, tremor of the tongue, pill-rolling tremor of the fingers, and retropulsion. What syndrome developed in this patient due to manganese poisoning?

Answer options

1. Hypothalamic syndrome
2. Polyneuritic syndrome
3. Meningism
4. Vestibular syndrome
5. Parkinsonism

Explanation

A 40-year-old man. a welder, uses manganese electrodes in his line of (18 years of experience). He complains of gait abnormalities, problems with speech and hand tremors. Objectively the following is observed in the patient hypomimia Increased muscle tone of plastic type, and quiet monotonous speech, tremor of the tongue, pill-rolling tremor of the fingers, and retropulsion. What syndrome developed in this patient due to manganese poisoning? A. Vestibular syndrome → is acute and our case took 18 yrs. B. Polyneuritic syndrome C. Hypothalamic syndrome → No weight changes with endocrine disorders D. Meningism → No meningeal Sign E. *ParkinsonismVestibular disease refers to a sudden, non-progressive disturbance of balance.” Vestibular disease refers to a sudden, non-progressive disturbance of balance. It is more common in older dogs. It is also referred to as old dog vestibular syndrome and canine idiopathic vestibular syndrome.signs/symptoms of polyneuropathy:Sensory polyneuropathy – ataxia, numbness, muscle wasting, and paranesthesia. Hereditary polyneuropathy – scoliosis and hammertoesParkinson’s signs and symptoms may includeTremor. A tremor, or shaking, usually begins in a limb, often your hand or fingersSlowed movement (bradykinesia).Rigid muscles.Impaired posture and balance.Loss of automatic movements.Speech changes.Writing changes.