Neuromuscular Case Studies

1. Introduction - p. 1 2. 1. Neuromuscular Anatomy and Function - p. 2 3. 2. Neurologic Evaluation and Ancillary Tests - p. 26 4. 3. Therapy in Neuromuscular Diseases - p. 74 5. Case Studies - p. 95 6. Case 1. An Elderly Woman With Numbness in the Hands - p. 96 7. Case 2. A Diabetic Man With Arm Swelling, Pain, and Numbness - p. 98 8. Case 3. A Diabetic Man With Hand Numbness and Fainting Spells - p. 105 9. Case 4. A Man With Hand Pain - p. 109 10. Case 5. A Woman With Hand Weakness, Numbness, and Pain After Cardiac Catheterization - p. 114 11. Case 6. A Man Who Practices Karate and Has Forearm Pain - p. 116 12. Case 7. A Man With a History of Polio Who Developed Hand Weakness and Numbness - p. 120 13. Case 8. A Young Woman With Multiple Sclerosis and Hand Numbness - p. 126 14. Case 9. A Woman With a Wrist Drop and a Mass in the Arm - p. 130 15. Case 10. A Man With Bilateral Arm Weakness After Lumbar Surgery - p. 135 16. Case 11. A Woman With Acute Onset of Shoulder Pain and Weakness - p. 140 17. Case 12. A Man With Lymphoma and Numbness in the Fingers of One Hand - p. 144 18. Case 13. A Woman With Arm Weakness After Treatment for Breast Cancer - p. 148 19. Case 14. A Diabetic Man With Shoulder Pain and Weakness - p. 151 20. Case 15. A Woman With Arm Weakness and a Skin Rash - p. 155 21. Case 16. A Woman With Neck and Arm Pain - p. 158 22. Case 17. A Woman With Neck Pain and a Weak Arm - p. 160 23. Case 18. A Woman With Back Pain and Leg Weakness - p. 164 24. Case 19. A Woman With Back Pain and Weakness - p. 168 25. Case 20. A Woman With Back Pain and Unusual Nerve Conduction Tests - p. 170 26. Case 21. A Man With Pheochromocytoma and Back Pain - p. 175 27. Case 22. A Diabetic Man With Back and Leg Pain - p. 178 28. Case 23. A Man With Leg Pain While Walking - p. 181 29. Case 24. A Man With Foot Pain - p. 185 30. Case 25. A Man With Unilateral Proximal Leg Weakness After Heart Catheterization - p. 189 31. Case 26. A Woman With Uterine Cancer and Unilateral Leg Weakness - p. 193 32. Case 27. A Man With Burning Sensations in the Thigh - p. 197 33. Case 28. A Man With Weakness and Fasciculations in the Lower Extremities - p. 200 34. Case 29. A Woman With Unilateral Facial Weakness - p. 203 35. Case 30. A Diabetic Woman With Muscle Weakness and Ophthalmoplegia - p. 207 36. Case 31. A Man With a Dropped Head - p. 212 37. Case 32. A Man in the “Barrel” - p. 219 38. Case 33A. A Man With a Long History of Muscle Weakness in One Arm - p. 223 39. Case 33B. A Young Man With Longstanding Weakness in Both Arms - p. 226 40. Case 34. A Man With Progressive Leg Muscle Weakness 20 Years After an Acute Paralysis - p. 230 41. Case 35. A Man With One Large Calf - p. 234 42. Case 36. A Man With Muscle Spasms and Elevated Serum Creatine Kinase - p. 239 43. Case 37. A Man With Muscle Twitching and Poor Balance - p. 244 44. Case 38. A Floppy Child - p. 250 45. Case 39. A Man With Acute Areflexic Paralysis and Central Nervous System Symptoms - p. 257 46. Case 40. A Man With Acute Muscle Weakness and Respiratory Failure - p. 263 47. Case 41. A Young Woman With Acute Onset of Clumsiness and Ophthalmoplegia - p. 268 48. Case 42. A Woman With Seafood Poisoning in Catfish Country - p. 272 49. Case 43. A Woman With a Kingly Disease - p. 276 50. Case 44. A Myasthenic Woman With Persistent Weakness - p. 283 51. Case 45. A Woman With COVID-19 Infection and Quadriparesis - p. 288 52. Case 46. A Man With Neck Pain and Numbness in the Hands - p. 291 53. Case 47. A Woman With Peripheral Neuropathy and Frequent Falls - p. 293 54. Case 48. A Woman With Progressive Four Limb Paresthesias - p. 298 55. Case 49. An Elderly Woman With Frequent Falls and Abnormal MRI - p. 301 56. Case 50. A Man With Weakness in the Legs - p. 303 57. Case 51. An Elderly Woman With Asymmetric Weakness and a Monoclonal Gammopathy - p. 306 58. Case 52. A Man With Progressive Weakness and Fasciculations - p. 309 59. Case 53. A Man With Diabetic Polyneuropathy Who Developed Rapidly Progressive Weakness - p. 320 60. Case 54A. An Older Man With Leg Numbness - p. 325 61. Case 54B. An Elderly Man With a Peripheral Neuropathy Like His Sister - p. 329 62. Case 55. A Man With Progressive Lower Extremity Weakness and Monoclonal Gammopathy - p. 333 63. Case 56. A Woman With a Neuropathy and Symptoms of a Central Nervous System Disease - p. 340 64. Case 57. A Man With Progressive Weakness After a Gastroplasty - p. 344 65. Case 58. A Diabetic Woman With Unilateral Proximal Leg Weakness and Pain - p. 348 66. Case 59. A Diabetic Man With Bilateral Arm Weakness - p. 352 67. Case 60. A Diabetic Man With Acute Onset of Pain and Swelling in the Thigh - p. 356 68. Case 61. A Uremic Man With Burning Feet - p. 358 69. Case 62A. A Woman With Leg Numbness, Pain, Weakness, and Slow Nerve Conduction Velocities - p. 362 70. Case 62B. A Boy With Leg Weakness - p. 365 71. Case 63. A Man With Hand Weakness and Numbness After Skiing - p. 374 72. Case 64. A Man With Recurrent Foot Drop - p. 376 73. Case 65. An Elderly Woman With Foot Drop and Hand Weakness - p. 382 74. Case 66. A Woman With Rheumatoid Arthritis Who Developed Numbness and Pain in the Feet - p. 387 75. Case 67. A Woman With Granulomatous Lesions in the Lungs and a Peripheral Neuropathy - p. 392 76. Case 68. A Man With a Neuropathy, Weight Loss, and Lung Nodules - p. 397 77. Case 69. A Woman With Difficulty Walking and Ataxia - p. 401 78. Case 70A. A Man With Progressive Neuropathy and Congestive Heart Failure - p. 407 79. Case 70B. A Woman With a Demyelinating and Axonal Neuropathy - p. 412 80. Case 71. An Elderly Woman With a Progressive Neuropathy - p. 415 81. Case 72A. A Young Woman With Difficulty Swallowing - p. 418 82. Case 72B. A Young Woman With Intermittent Weakness and a Positive Family History of Similar Problems - p. 421 83. Case 73. A Weak Woman With a Weak Baby - p. 428 84. Case 74. A Woman With Muscle Weakness and Areflexia - p. 430 85. Case 75. An Elderly Woman With Proximal Weakness - p. 433 86. Case 76. An Elderly Woman With Ptosis, Areflexia, and Weakness - p. 438 87. Case 77. A Young Woman With Distal Upper Extremity Weakness - p. 441 88. Case78. A Young Man With Episodic Weakness - p. 450 89. Case 79. An African American Man With Hyperthyroidism and Acute Paralysis - p. 455 90. Case 80. A Boy With Large Muscles, Leg Pain, and Elevated Serum Creatine Kinase - p. 457 91. Case 81. A Woman With Proximal Muscle Weakness, Calf Hypertrophy, Heel Contractures, and Elevated Serum Creatine Kinase - p. 465 92. Case 82. A Young Man With Distal Leg Wasting and Normal Sensation - p. 469 93. Case 83. A Boy With Proximal Weakness and Cardiomyopathy - p. 476 94. Case 84. A Woman With Droopy Eyelids and Difficulty Swallowing - p. 483 95. Case 85. A Man With Facial and Shoulder Muscle Weakness - p. 486 96. Case 86. A Boy Born Floppy With Severe Weakness and, Later, Contractures - p. 491 97. Case 87. A Woman With Long-standing Weakness and Foot Deformities - p. 498 98. Case 88 - p. 502 99. Case 89. A Woman With Droopy Eyelids and Ophthalmoplegia - p. 507 100. Case 90. A Man With Weakness and Swelling in the Neck - p. 513 101. Case 91. A Woman With Muscle Pains and Dark Urine - p. 517 102. Case 92. A Woman With Progressive Proximal Muscle Weakness - p. 523 103. Case 93. A Sedentary Man With Acute Respiratory Failure and Myoglobinuria - p. 529 104. Case 94. An Elderly Man With New Onset Weakness - p. 534 105. Case 95. A Uremic Man With Proximal Muscle Weakness - p. 538 106. Case 96. A Woman With Weakness, Elevated Cholesterol, and Serum Creatine Kinase Levels - p. 542 107. Case 97. An Older Woman With Leg Weakness and Atrophic Muscle Fibers on Biopsy - p. 545 108. Case 98A. A Woman With Muscle Weakness and a Skin Rash - p. 550 109. Case 98B. A Child With Muscle Weakness and a Skin Rash - p. 553 110. Case 99. A Man With Muscle Pains - p. 558 111. Case 100A. An Older Woman With Progressive Muscle Weakness - p. 562 112. Case 100B. An Elderly Man With Weakness Diagnosed as Having a Myopathy and a Neuropathy - p. 567 113. Case 101. An HIV-Infected Man With Muscle Weakness and Spasms - p. 570 114. Case 102. A Patient With Rapidly Progressive Muscle Weakness and Rather Elevated Creatine Kinase - p. 574 115. Case 103. A Woman With Painful and Swollen Legs - p. 577 116. Case 104. A Man With a Bent Spine - p. 580 117. Case 105. A Man With Muscle Stiffness and Later With Diplopia - p. 584 118. Case 106. A Woman With Muscle Cramps and Fasciculations - p. 590 119. Case 107. A Young Man With Large and Stiff Muscles - p. 596 120. Case 108. A Woman With Generalized Increased Insertional Activity on EMG - p. 602 121. Case 109. A Boy With Short Stature, Small Jaw, Muscle Hypertrophy, and Stiffness - p. 605 122. Case 110. An Elderly Woman With Muscle Spasms - p. 608 123. Case 111. A Woman With Proximal Muscle Weakness and Neuromuscular Irritability - p. 611 124. Case 112. A Woman With Focal Spontaneous Muscle Movements - p. 615 125. Index of Cases by Diagnosis - p. 619 126. Index - p. 623