Mills variant motor neurone disease (MND):

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Mills variant motor neurone disease (MND). This is a hemiplegic variant of MND. Fully referenced neurology checklist.

Background

  • This is a hemiplegic variant of MND
  • It is possibly a variant of primary lateral sclerosis (PLS)

Clinical features

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Differential diagnosis

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Magnetic resonance imaging (MRI) brain

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Positron emission tomography (PET) scan

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References

  1. Wijesekera LC, Mathers S, Talman P, et al. Natural history and clinical features of the flail arm and flail leg ALS variants. Neurology 2009; 72:1087-1094.
  2. Rajabally YA, Hbahbih M, Abbott RJ. Hemiplegic ALS: Mills syndrome. Neurology 2005; 64:1984.
  3. Gastaut JL, Bartolomei F. Mills' syndrome: ascending (or descending) progressive hemiplegia: a hemiplegic form of primary lateral sclerosis? JNNP 1994; 57:1280-1281. 
  4. Bäumer D, Butterworth R, Menke RA, Talbot K, Hofer M, Turner MR. Progressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis. Neurology 2014; 82:457-458. 
  5. Jaiser SR, Mitra D, Williams TL, Baker MR. Mills' syndrome revisited. J Neurol 2019; 266:667-679.
  6. And 2 more. Subscribe to see the full list

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