Clinical Reasoning: A 55-Year-Old Woman With Painless Hand Weakness and Atrophy.
Neurology
; 103(1): e209561, 2024 Jul 09.
Article
em En
| MEDLINE
| ID: mdl-38833636
ABSTRACT
Hand weakness is a frequent chief concern in neurology practice. We report a case of a 55-year-old woman presenting with a chronic, gradually worsening right hand weakness and atrophy, selectively affecting the thenar muscles, without any sensory symptoms. She had a history of carpal tunnel syndrome and previously underwent surgical carpal tunnel release. This case delves into the differential diagnosis of hand weakness and atrophy, emphasizing the significance of myotomal innervation in intrinsic hand muscles. Furthermore, it outlines a systematic approach to diagnosing an uncommon cause for a common clinical presentation, offering a comprehensive differential diagnosis, and exploring various possible causes.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Debilidade Muscular
/
Mãos
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article