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A Fine Motor Task to Study Joint Kinematics in a Preclinical Model of Neurodegenerative Disease
Published on: June 13, 2025
Clinical reasoning: a 49-year-old woman with progressive motor deficit
Ana Monteiro1, Amélia Mendes, Fernando Silveira
1From the Departments of Neurology (A. Monteiro, A. Mendes, F.S., G.N.) and Pathology (L.C.), Centro Hospitalar São João; and the Department of Clinical Neurosciences and Mental Health (A. Monteiro, A. Mendes), Faculty of Medicine, University of Porto, Portugal.
Abstract:
A previously healthy 49-year-old woman presented with progressive motor deficit. The complaints started the year before with weakness of the right arm. Over the subsequent months, she developed weakness in the left arm, followed by both legs, and, finally, difficulty speaking, with nasal voice, and swallowing. It was increasingly difficult to attend to her chores, and, by the time she sought medical attention, she needed help with all daily activities. In the last few weeks, she also complained of diffuse joint and muscle pain. Medical and family history were unremarkable.
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