Progressive Motor Weakness in a Somalian Man



Fig. 13.1
Patient’s lower limbs showing severe distal wasting involving both the anterior and posterior aspects of the legs





Investigations


Laboratory tests including serum lead and white cell enzymes were normal.

Neurophysiology (Tables 13.1 and 13.2)


Table 13.1
Sensory and mixed nerve conduction studies










































 
Right
Left

μV

m/s

μV

m/s

Median (F3-wrist)
33
62
33
60

Ulnar (F5-wrist)
19
60
19
58

Sural (calf-ankle)
18
35
21
35

Superficial peroneal (calf-ankle)
10
42
15
34



Table 13.2
Motor nerve conduction studies











































 
Right
Left

Median (SE on APB)

DML
3.9 ms
4.0 ms

CV (wrist-elbow)
54 m/s
54 m/s

CV (elbow-axilla)
–
50 m/s

CMAP (wrist)
5.8 mV
5.5 mV

CMAP (elbow)
5.7 mV
5.0 mV

CMAP (axilla)
–
4.8 mV

Minimal F-wave latency (wrist)
31.4 ms
30.9 ms

Ulnar (SE on ADM)

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Aug 15, 2017 | Posted by in NEUROLOGY | Comments Off on Progressive Motor Weakness in a Somalian Man

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