Muscle Weakness
Conditions
Brief summary
Introducing a unique clinical case of limb-girdle muscular dystrophy associated with LBP that was initially misdiagnosed as non-specific LBP
Detailed description
This case report describes the history, examination findings, and clinical reasoning used for a patient suffering from LBP as a chief complaint. A new sign appeared in MRI, which prompted the author to change the diagnosis process from lower back pain to a mysterious neurological disease, The MRI revealed widespread fat deposit in the lumbar paraspinal muscles. This MRI sign prompted the authors to do more lab investigation, showing a notably elevated level of creatinine phosphokinase (906 u/L). Further clinical examination revealed proximal muscle weakness, winging of scapula and Bilateral LMN facial palsy. Therefore, the patient was ultimately directed to a neurologist who confirmed the diagnosis of limb-girdle muscular dystrophy
Interventions
OTHERphysical therapy
ultrasound and TENS for the back
Sponsors
Noha Khaled Shoukry
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* experiencing lower back stiffness and a dull back pain
Exclusion criteria
* diabetes, heart disease, or muscle disease. any history of previous falls, accidents, surgeries, hospitalizations, and he denied any significant past illnesses, or allergies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| An MRI of the lumbar spine | one month |
Countries
Egypt
Outcome results
None listed