Amyotrophic lateral sclerosis presenting as typical split hand syndrome

Autor: Jyosthna Elagandula, Nagapriya Vellalacheruvu, Naresh Monigari, Murali Nalabothu
Rok vydání: 2014
Předmět:
Zdroj: Case Reports. 2014:bcr2014207647-bcr2014207647
ISSN: 1757-790X
DOI: 10.1136/bcr-2014-207647
Popis: A 38-year-old man presented to a hospital with weakness of both hands (right>left) with associated generalised weakness for the past 2 years. The patient initially noticed weakness and thinning of his right hand followed by the left for 2 years, then he noticed a thinning of the arms, right more so that left, and his right thigh for the past 6 months. General examination showed flattening over the right shoulder and wasting of the thenar eminence on both hands with normal hypothenar muscles (figures 1 and 2). Nervous system examination showed tongue fasciculations and significant asymmetrical wasting of abductor pollicis brevis (APB), and first dorsal interossei (FDI) with sparing of abductor digiti minimi (ADM) was noted …
Databáze: OpenAIRE