J Yeungnam Med Sci.  2022 Oct;39(4):347-351. 10.12701/jyms.2022.00535.

Differential diagnosis of motor weakness in the right lower limb of a 59-year-old male patient

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea


Figure

  • Fig. 1. Flexion-extension plain radiographs of lumbar spine show spondylolisthesis at L5–S1 (arrows).

  • Fig. 2. Lumbar spine magnetic resonance imaging in the local hospital. (A) Axial T2-weighted image shows mild central spinal stenosis at L5–S1 and right foraminal stenosis (arrow). (B) Sagittal T2-weighted image shows spondylolisthesis at L5–S1 (arrow).


Reference

References

1. Turner M, Jenkins L. Defining the syndrome. In : Turner M, Jenkins L, editors. Diagnosing amyotrophic lateral sclerosis: clinical wisdom to facilitate faster diagnosis. Oxford: Karger Abingdon;2020. p. 7–24.
2. Joint Task Force of the EFNS and the PNS. European Federation of Neurological Societies/Peripheral Nerve Society guideline on management of multifocal motor neuropathy. Report of a joint task force of the European Federation of Neurological Societies and the Peripheral Nerve Society--first revision. J Peripher Nerv Syst. 2010; 15:295–301.
3. Li Hi Shing S, Chipika RH, Finegan E, Murray D, Hardiman O, Bede P. Post-polio syndrome: more than just a lower motor neuron disease. Front Neurol. 2019; 10:773.
Article
4. Dyck PJ, Tracy JA. History, diagnosis, and management of chronic inflammatory demyelinating polyradiculoneuropathy. Mayo Clin Proc. 2018; 93:777–93.
Article
5. Manzano R, Sorarú G, Grunseich C, Fratta P, Zuccaro E, Pennuto M, et al. Beyond motor neurons: expanding the clinical spectrum in Kennedy’s disease. J Neurol Neurosurg Psychiatry. 2018; 89:808–12.
Article
6. Singh N, Ray S, Srivastava A. Clinical mimickers of amyotrophic lateral sclerosis-conditions we cannot afford to miss. Ann Indian Acad Neurol. 2018; 21:173–8.
Article
7. Koike H, Tanaka F, Sobue G. Paraneoplastic neuropathy: wide-ranging clinicopathological manifestations. Curr Opin Neurol. 2011; 24:504–10.
8. Ludolph A, Drory V, Hardiman O, Nakano I, Ravits J, Robberecht W, et al. A revision of the El Escorial criteria - 2015. Amyotroph Lateral Scler Frontotemporal Degener. 2015; 16:291–2.
Article
9. Kwak S, Kim DH, Boudier-Revéret M, Chang MC. Amyotrophic lateral sclerosis mimicking radiculopathy: a case series. Nagoya J Med Sci. 2021; 83:877–81.
10. Simon NG, Lee M, Bae JS, Mioshi E, Lin CS, Pfluger CM, et al. Dissociated lower limb muscle involvement in amyotrophic lateral sclerosis. J Neurol. 2015; 262:1424–32.
Article
Full Text Links
  • JYMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr