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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:1406-1412 November 23, 1995 Number 21
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Case 36-1995— A 61-year-old man with increasing weakness and atrophy of all extremities
W.J. Triggs, and M.A. Edgar

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Presentation of Case

A 61-year-old man was admitted to the hospital because of increasing weakness in all his extremities.

The patient had been in good health until five years earlier, when weakness developed in the distal portion of the left leg, with mild pain in the left hip. He began to limp because of the weakness. There were severe muscle cramps in the leg, which subsided approximately two years later. Three years before admission a neurologist found distal muscular atrophy of the left leg, with normal reflexes and sensation, and normal cranial-nerve functions. Motor-nerve conduction velocities and sensory-nerve action potentials were normal. A . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. William J. Triggs's Diagnosis

Pathological Discussion

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