A Young Man With Large and Stiff Muscles

Mar 25, 2024 by in NEUROLOGY Comments Off on A Young Man With Large and Stiff Muscles

An 18-year-old patient had complained of muscle stiffness since he was 2½ years old, impairing his ability to exercise. He felt less stiff after warming up, and cold made the…

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A Woman With Focal Spontaneous Muscle Movements

Mar 25, 2024 by in NEUROLOGY Comments Off on A Woman With Focal Spontaneous Muscle Movements

A 42-year-old right-handed, Black woman came complaining that her leg muscles got tight and “moved on their own” for about 4–5 months prior to presentation and had gotten progressively worse….

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A Woman With Muscle Cramps and Fasciculations

Mar 25, 2024 by in NEUROLOGY Comments Off on A Woman With Muscle Cramps and Fasciculations

A 53-year-old woman complained of frequent muscle spasms, cramps, and mild fluctuating weakness in the arms and legs for 6 years. She initially had difficulty rising from a squat position…

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An Elderly Woman With Muscle Spasms

Mar 25, 2024 by in NEUROLOGY Comments Off on An Elderly Woman With Muscle Spasms

An 81-year-old woman with a history of thyroidectomy for thyroid carcinoma presented 2 years later with recurrent muscle spasms, muscle pain, and weakness. Her serum calcium levels were consistently in…

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A Woman With Painful and Swollen Legs

Mar 25, 2024 by in NEUROLOGY Comments Off on A Woman With Painful and Swollen Legs

A 46-year-old woman presented with a 2-month history of progressive fatigue, generalized edema, myalgia, and proximal muscle weakness. She had a 30-lb weight gain, diffuse large joint arthralgias, and morning…

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