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Utility of Dissociated Intrinsic Hand Muscle Atrophy in the Diagnosis of Amyotrophic Lateral Sclerosis
Published on: March 4, 2014
Dropped head and man-in-barrel syndrome in amyotrophic lateral sclerosis
Rui Almeida1, Ana Catarina Felix2, Ana Luísa André2
1Department of Internal Medicine, Centro Hospitalar do Algarve, Faro, Portugal.
Abstract:
We report a case of progressive symmetric brachial weakness followed by cervical muscle weakness. The electromyogram confirmed the diagnosis of amyotrophic lateral sclerosis. After 3 years the patient remained able to walk unassisted and without significant bulbar manifestations or upper neuron signs. The concomitant presence of dropped head syndrome and man-in-barrel syndrome in an amyotrophic lateral sclerosis patient makes our case unique.
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