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Previous Volume 357:2707-2715 December 27, 2007 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 38-year-old, right-handed man was seen in the neuromuscular unit of this hospital because of weakness of the hands. He first noted shaking of his hands, the right more than the left, 8 months earlier, when he had an upper respiratory infection. The symptoms improved spontaneously, and 1 month later, he was able to play the piano. After another 3 to 4 months, he noted cramping of his right hand and decreased endurance, such that this hand would be fatigued without obvious weakness. The cramps took the form of wrist and metacarpophalangeal flexion and were relieved by shaking the hand. . . . [Full Text of this Article]

Differential Diagnosis

Rheumatoid Arthritis

Motor Neuron Disease

Multifocal Motor Neuropathy

Diagnosis of Multifocal Motor Neuropathy

Therapy for Multifocal Motor Neuropathy

Electrophysiology of Multifocal Motor Neuropathy

Dr. William J. Triggs's Diagnosis

Diagnostic Discussion

Evolution and Response to Treatment

Anatomical Diagnosis

Source Information

From the McKnight Brain Institute and the Department of Neurology, University of Florida — both in Gainesville (W.J.T.); and the Department of Neurology, Massachusetts General Hospital and Harvard Medical School — both in Boston (D.C.).

This article has been cited by other articles:

• Cats, E. A., van der Pol, W-L., van den Berg, L. H., Triggs, W. J. (2008). Case 40-2007: A Man with Weakness in the Hands. NEJM 358: 1869-1870 [Full Text]