Book contents
- Neuromuscular Disease: A Case-Based Approach
- Neuromuscular Disease
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to 2nd Edition
- Part I Evaluation and Treatment of Patients with a Neuromuscular Disorder
- Part II Neuromuscular Cases
- Disorders of the Anterior Horn Cell
- Case 1 Amyotrophic Lateral Sclerosis (ALS)
- Case 2 Primary Lateral Sclerosis (PLS)
- Case 3 Progressive Muscular Atrophy (PMA)
- Case 4 Segmental Spinal Muscular Atrophy
- Case 5 Spinal and Bulbar Muscular Atrophy (SBMA; Kennedy Disease)
- Case 6 Spinal Muscular Atrophy (SMA) Type 1
- Case 7 Spinal Muscular Atrophy (SMA) Type 3
- Case 8 Postpolio Syndrome (PPS); Poliomyelitis Anterior Acuta, West Nile Virus Poliomyelitis, Acute Flaccid Weakness in Children
- Peripheral Neuropathies
- Disorders of the Neuromuscular Junction
- Myopathies
- Video legends
- Index
- References
Case 1 - Amyotrophic Lateral Sclerosis (ALS)
from Disorders of the Anterior Horn Cell
Published online by Cambridge University Press: 29 November 2024
- Neuromuscular Disease: A Case-Based Approach
- Neuromuscular Disease
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to 2nd Edition
- Part I Evaluation and Treatment of Patients with a Neuromuscular Disorder
- Part II Neuromuscular Cases
- Disorders of the Anterior Horn Cell
- Case 1 Amyotrophic Lateral Sclerosis (ALS)
- Case 2 Primary Lateral Sclerosis (PLS)
- Case 3 Progressive Muscular Atrophy (PMA)
- Case 4 Segmental Spinal Muscular Atrophy
- Case 5 Spinal and Bulbar Muscular Atrophy (SBMA; Kennedy Disease)
- Case 6 Spinal Muscular Atrophy (SMA) Type 1
- Case 7 Spinal Muscular Atrophy (SMA) Type 3
- Case 8 Postpolio Syndrome (PPS); Poliomyelitis Anterior Acuta, West Nile Virus Poliomyelitis, Acute Flaccid Weakness in Children
- Peripheral Neuropathies
- Disorders of the Neuromuscular Junction
- Myopathies
- Video legends
- Index
- References
Summary
While working is his garden, a 59-year-old man noticed pain in his neck and shoulders. He had some difficulty holding his head in an upright position and rising from a squat. The referring neurologist had performed an MRI scan of the cervical spine, which was normal. As his CK activity was moderately elevated and the EMG showed fibrillation potentials, myositis was suggested. On referral – six months after disease onset – he also mentioned difficulty climbing stairs. When walking, he experienced cramps in the calves. In recent weeks, he had developed a slurred speech and had problems fastening buttons. He had lost 10 kg (12% of his original weight). Pseudobulbar affect (forced laughter, yawning, or crying) was not mentioned at the time.
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- Neuromuscular DiseaseA Case-Based Approach, pp. 71 - 76Publisher: Cambridge University PressPrint publication year: 2024