A Treatable Systemic Muscle Disease
Fig. 40.1 There is an endomysial inflammatory infiltrate with infiltration of non-necrotic fibres by lymphocytes (a, b, arrows). There is variation in fibre size and fibre necrosis (b, *). The…
NEUROLOGY
Cramps, Weakness and Fasciculations
Fig. 15.1 (a, b) Appearance of the right hand 10 years following onset of weakness. There is relative preservation of muscle bulk. Investigations Blood tests were normal, including creatine kinase….
The Less Aggressive and Less Common Cousin
© Springer-Verlag London Ltd. 2017Hadi Manji, Chris Turner and Matthew R. B. Evans (eds.)Neuromuscular Disease 10.1007/978-1-4471-2389-7_37 37. The Less Aggressive and Less Common Cousin Dipa L. Raja Rayan1 and Chris Turner1 (1) MRC Centre for Neuromuscular Diseases, National Hospital for…
Unsteadiness – Neither Cerebellar Nor Vestibular
Anti-GM1 IgG Antibody Negative Titre 1 in 1000 Anti-GD1b IgM Antibody Positive Titre 1 in 20,000 Cerebrospinal Fluid <1 WBC/mm3 Total Protein 0.66 g/L (0.13–0.4) Glucose 4.0 mmol/L (2.2–4.2) (matched…
A Multisystem Muscle Disorder Needs Monitoring
Fig. 36.1 Tongue myotonia following percussion Investigations Her CK was normal. EMG demonstrated frequent myotonic potentials with mild myopathic changes. An overnight sleep study showed significant desaturations throughout the night,…
Rare as Rocking Horse Droppings
Amplitude (μV) Onset latency (ms) Peak latency (ms) Conduction velocity m/s Right Median (F3-wrist) 8.0 2.5 3.2 50 Right Ulnar (F5-wrist) 7.0 2.1 2.1 52.5 Right Radial 1.3 –…
A Man with Episodes of Shoulder Pain and a Weak Arm
Amplitude (μV) Onset latency (ms) Peak latency (ms) Conduction velocity m/s Right Median (F3-wrist) 3.0 3.9 4.4 42.5 Right Ulnar (F5-wrist) 5 2.8 3.3 46.5 Right Radial (forearm-wrist) 15…
A Man with Painful Feet and Hand Ulcers
Fig. 27.1 The patient’s hands showing wasting of small muscles, contraction of finger flexors and a purplish discolouration There was marked distal weakness in the upper and lower limbs bilaterally….
Leg Swelling and Painful Feet in a Business Man
Amplitude (μV) Onset latency (ms) Conduction velocity (m/s) Right sural NR NR Right superficial peroneal NR NR Left sural NR NR Left superficial peroneal NR NR Right median 6…
Weakness in an Indian Man
© Springer-Verlag London Ltd. 2017Hadi Manji, Chris Turner and Matthew R. B. Evans (eds.)Neuromuscular Disease 10.1007/978-1-4471-2389-7_25 25. Weakness in an Indian Man Robin Howard1 (1) MRC Centre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery, Queen…
