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76 Possible Causes for Bilateral Arm Weakness, Diplopia, Shoulder Pain

  • Lambert Eaton Myasthenic Syndrome

    She recently developed unilateral ptosis and diplopia which dramatically improved with pyridostigmine suggesting concomitant MG.[ncbi.nlm.nih.gov] A 65-year-old man presented with alternating ptosis and diplopia.[ncbi.nlm.nih.gov] Ophthalmic symptoms included ptosis in 41 (23%), diplopia in 36 (20.5%), decreased vision in 24 (14%), and dry eye complaints in 12 (7%).[ncbi.nlm.nih.gov]

  • Temporal Arteritis

    […] upper arm tenderness Jones and Hazleman 13 All of the following: Shoulder and pelvic girdle muscle pain without weakness Morning stiffness Symptom duration of more than two[aafp.org] Classic symptoms include polymyalgia rheumatica, new-onset headache, jaw claudication, and visual symptoms such as diplopia and amaurosis fugax.[ncbi.nlm.nih.gov] Polymyalgia rheumatica is an infrequently occurring, inflammatory condition that causes pain or aching in the large muscle groups, especially around the shoulders and hips[webmd.com]

  • Brachial Plexus Neuritis

    weakness.[ijri.org] […] presented with shortness of breath as the predominant symptom (phrenic neuropathy), while one patient, with a past history of three episodes of facial palsies, experienced diplopia[academic.oup.com] Acute brachial plexus neuritis is an uncommon disorder characterized by severe shoulder and upper arm pain followed by marked upper arm weakness.[ncbi.nlm.nih.gov]

  • Platybasia

    […] also include clumsiness, numbness along one side of the body, unsteadiness of the gait, vertigo, weakness of one side of the body, loss of control of bowel and bladder, diplopia[xpertdox.com] Physical therapy is also designed to relieve pain and to preserve the range of motion in the cervical spine joints and the shoulders.[bmcmusculoskeletdisord.biomedcentral.com] The most frequent ocular symptoms are: retro-orbital headache, diplopia, photopsia, blurred vision, and photophobia.[bmcmusculoskeletdisord.biomedcentral.com]

  • Polymyalgia Rheumatica

    Shoulder, hip, neck and upper arm pain associated with PMR is usually bilateral and symmetrical.[physio-pedia.com] Giant cell arteritis may manifest as visual loss or diplopia, abnormalities of the temporal artery such as tenderness or decreased pulsation, jaw claudication, and new-onset[aafp.org] After stabilization for bleeding he was evaluated for shoulder pain. He reported increasing pain and stiffness in his shoulder and pelvic girdle over 1 month.[jrheum.org]

  • Stroke

    […] hemianopia 4 Facial movement 0—Normal 1—Minor facial weakness 2—Partial facial weakness 3—Complete unilateral palsy 5 Motor function (arm) 0—No drift a.[doi.org] The symptoms improved after forced diuresis, but 5.5 h later progression was observed, and the patient developed diplopia and dysphagia in addition to her initial symptoms[ncbi.nlm.nih.gov] BACKGROUND: Hemiplegic shoulder pain (HSP) is one common complication after stroke.[ncbi.nlm.nih.gov]

  • Transient Ischemic Attack

    A 69-year-old gentleman presented with a TIA episode (dysarthria, right-arm weakness, and numbness).[ncbi.nlm.nih.gov] […] with those with HLH and diplopia (median 2 [interquartile range 2-3] versus 3 [2-4] and 4 [2-5], respectively; P   .005).[ncbi.nlm.nih.gov] Shoulder pain and subluxation after stroke: correlation or coincidence? Am J Occup Ther. 1996 ; 50 : 194–201.[doi.org]

  • Epidural Hematoma

    An 8-year-old boy presented to the emergency department (ED) with a several day history of back pain and a 1-day history of bilateral arm pain.[consultant360.com] A 26-year-old Asian woman presented with diplopia occurring at 1 week after conservative treatment for left temporal bone fracture and left temporo-occipital epidural hematoma[ncbi.nlm.nih.gov] Methods A 39-year-old female presented with sudden onset of severe pain between the shoulder blades followed by paraparesis and alerted sensibility in the lower extremities[ncbi.nlm.nih.gov]

  • Amyotrophic Lateral Sclerosis

    Here, we report a patient who presented with progressive left arm weakness and was found to have bilateral MRI plexus abnormalities.[ncbi.nlm.nih.gov] He complained of diplopia with a lateral horizontal gaze.[ncbi.nlm.nih.gov] A regular stretching program, combined with the use of shoulder approximation sleeves, can help prevent shoulder pain.[doi.org]

  • Lyme Neuroborreliosis

    A 6-year-old boy presented with asymmetric motor radiculopathy of the lower limbs with bilateral areflexia of patellar and achilles reflexes and muscle weakness with difficulty[thieme-connect.com] A 22-year-old male presented with history of flu-like illness and headache, accompanied by vertical binocular diplopia, worse on downgaze and better in upgaze and right head[ncbi.nlm.nih.gov] Other symptoms may include diplopia, hearing impairment, paralysis, altered sensation, difficulty in walking or cognitive impairment.[tidsskriftet.no]

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