Teaching Video NeuroImages: Muscle cramps and a raised creatine kinase
نویسندگان
چکیده
منابع مشابه
Teaching video neuroimages: involuntary muscle contractions in Hoffman syndrome.
Caitlin Loomis, MD Shawn J. Bird, MD Joshua M. Levine, MD Hoffman syndrome is a rare constellation of features that occurs in severely hypothyroid adults. It is characterized by muscle hypertrophy, weakness, stiffness, and slowness of movement with or without muscle cramps.1 Elevation of creatine kinase is common, but does not correlate with disease severity.2 A 50-year-old man from Ghana prese...
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A 7-year-old boy presented with acute onset headache, vomiting, and visual deterioration 2 weeks previously without any cognitive or behavioral changes. Optic fundi showed papilledema, and there were no pyramidal signs or gait disturbances. The remainder of the neurologic examination was normal. CSF protein was 174 mg/dL. Although MRI features (figure) were consistent with adrenoleukodystrophy ...
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Scapular winging (SW) is a common sign in neuromuscular disorders. Besides “pure” phenotypes due to single muscle weakness often secondary to nerve injuries or dysfunctions, the phenotype can be complicated when a combination of different scapular fixators is involved by a myopathy. We show an example of 2 sisters with facioscapulohumeral muscular dystrophy (video 1 on the Neurology® Web site a...
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Brendan P. Lucey, MD A 55-year-old right-handed man started phenytoin after 2 seizures. Four weeks later, he complained of involuntary facial movements. Examination revealed orofacial dyskinesias: eyebrow elevation and lip pursing (video on the Neurology Web site at www. neurology.org). No ataxia, slurred speech, or nystagmus was seen. His phenytoin level was 29.5 mg/L when examined, increased ...
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A 48-year-old man presented with episodic paraplegia and stiffness of hands, face, and tongue, along with eyelid myotonia when exposed to cold temperature, which he had since childhood. Eyelid myotonia was evoked either by exposure to cold weather (video on the Neurology® Web site at www.neurology.org and figure 1) or by forceful eye closure. Myotonia was elicited with percussion of the tongue ...
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ژورنال
عنوان ژورنال: Neurology
سال: 2014
ISSN: 0028-3878,1526-632X
DOI: 10.1212/wnl.0000000000000534