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Clinical Reasoning: A 55-Year-Old Woman With Painless Hand Weakness and Atrophy.

Authors :
Ticku H
Katirji B
Source :
Neurology [Neurology] 2024 Jul 09; Vol. 103 (1), pp. e209561. Date of Electronic Publication: 2024 Jun 04.
Publication Year :
2024

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.

Details

Language :
English
ISSN :
1526-632X
Volume :
103
Issue :
1
Database :
MEDLINE
Journal :
Neurology
Publication Type :
Academic Journal
Accession number :
38833636
Full Text :
https://doi.org/10.1212/WNL.0000000000209561