J Korean Geriatr Soc.  2008 Jun;12(2):107-111.

Atypical Form of Motor Neuron Disease: Brachial Amyotrophic Diplegia

Affiliations
  • 1Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kysmart@amc.seoul.kr

Abstract

Brachial amyotrophic diplegia is a rare disease presenting with severe weakness that is completely confined to the upper limbs over time without upper motor neuron sign. It might be a stable and relatively benign variant of motor neuron disease and should be differentiated from other motor neuropathies. A 60-year-old man presented with a two year history of symmetrical muscle wasting and weakness in his arm and shoulder girdle. Bulbar and leg muscle were not affected and he was independent in ambulation. Nerve conduction studies revealed normal except the low amplitude of median and ulnar compound muscle action potential with no evidence of conduction block. Needle electromyography showed denervation potential and neuropathic motor unit action potential throughout the upper limb. We report this case with a brief review of related literatures.

Keyword

Motor neuron disease; Amyotrophic lateral sclerosis

MeSH Terms

Action Potentials
Amyotrophic Lateral Sclerosis
Arm
Denervation
Electromyography
Humans
Leg
Middle Aged
Motor Neuron Disease
Motor Neurons
Muscles
Needles
Neural Conduction
Rare Diseases
Shoulder
Upper Extremity
Walking
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