Abstract
A 69-year-old male presents with bilateral upper extremity weakness and atrophy for 3 years. This started with left hand weakness, stiffness, and the need to focus considerably to perform simple tasks. There is no numbness, tingling, pain, or history of trauma. The weakness then progressed to involve the entire left arm, with significant atrophy and loss of function. Six months ago, he started developing similar but milder symptoms in the right hand. He also noticed twitching in both upper extremities, left more than the right. Lower extremities, bowel, and bladder functions are normal. He used to smoke cigarettes but quit 25 years ago and takes five alcoholic drinks per week.
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Reference
Simon NG, Huynh W, Vucic S, Talbot K, Kiernan MC (2015) Motor neuron disease: current management and future prospects. Intern Med J 45(10):1005–1013
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Hanna, A.S. (2017). Case I: Hand Weakness 1. In: Nerve Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-39694-1_1
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DOI: https://doi.org/10.1007/978-3-319-39694-1_1
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-39692-7
Online ISBN: 978-3-319-39694-1
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