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27 Possible Causes for Bilateral Arm Weakness, Electromyogram Abnormal, Shoulder Pain

  • Lambert Eaton Myasthenic Syndrome

    It is distinguishable from normal muscle cramps by the finding of prolonged bursts of high frequency repetitive muscle action potentials on the electromyogram (EMG).[] Neuromyotonia Acquired neuromyotonia is an unusual manifestation of cancer characterised by muscle cramps, stiffness and twitching, sweating, and abnormal relaxation after[]

  • Amyotrophic Lateral Sclerosis

    Here, we report a patient who presented with progressive left arm weakness and was found to have bilateral MRI plexus abnormalities.[] A regular stretching program, combined with the use of shoulder approximation sleeves, can help prevent shoulder pain.[] Regionally isolated variants of ALS include flail arm syndrome, which involves bilateral proximal and typically predominant LMN arm weakness, and the flail leg syndrome, characterized[]

  • Multifocal Motor Neuropathy

    Outcomes Patient-reported outcome measures included the Disabilities of the Arm, Shoulder and Hand (DASH) survey to monitor the return of function and the numeric pain-rating[] You may also feel pain, tingling, or burning in your arm and shoulder .[]

  • Myopathy

    A muscle magnetic resonance image showed bilateral fatty infiltration and post-contrast enhancement in the arm and thigh muscles.[] An 82-year-old patient with a previously untreated stage IIIc melanoma developed ptosis in the left eye, generalized weakness, and neck and shoulder pain 15 days after pembrolizumab[] Electroencephalographic abnormalities have been noted in several patients with the early-onset form of the disease before clinically apparent seizure activity begins.[]

  • Facioscapulohumeral Muscular Dystrophy

    The patient had moderate facial weakness and marked winging and high-riding of the scapulae with prominent pectoral and proximal arm muscle atrophy and weakness.[] We describe a case in a high school throwing athlete that presented as shoulder pain with throwing a baseball.[] pain and restricted shoulder abduction and flexion, despite a functional deltoid muscle.[]

  • Dermatomyositis

    Neurological examination revealed bilateral symmetric muscle weakness affecting the shoulders and hip girdle muscles, with strength assessed at 3 of 5 bilaterally.[] Muscle pain is less frequent; when muscle pain does occur, it commonly involves pain in the muscles of the shoulder and hip.[] (EMG) which can demonstrate abnormal electrical activity in muscles and help distinguish weakness due to muscle disease from weakness due to nerve problems A nerve conduction[]

  • Inclusion Body Myositis

    Case 4 A 69-year-old man with a history of hypertension initially complained of bilateral symmetrical muscle weakness in the arms which began in 2011 and then extended to[] The degrees of pain and disability were assessed before and after the procedure using the Shoulder Pain and Disability Index; 1 the patient reported a 75% reduction of pain[] Inclusion body myositis is associated with a modest degree of creatine kinase (CK) elevation and an abnormal electromyogram demonstrating an irritative myopathy with some[]

  • Limb-Girdle Muscular Dystrophy

    […] symptoms Weakness: Proximal Serum CK: High but lower than average Pain syndrome Onset: Distal leg (calf) painful swelling without weakness or atrophy Unilateral or Bilateral[] Palpitations or passing-out spells Shoulder weakness Weakness of the muscles in the face (later in the disease) Weakness in the muscles of the lower legs, feet, lower arms[] Most commonly it causes progressive (worsening) hip and shoulder muscle weakness that spreads to the arms, legs, and back.[]

  • Glycogen Storage Disease Type 2

    […] calf hypertrophy Tendon reflexes: Reduced in proportion to weakness Cardiac: Usually normal Other Skeletal Spine: Disease onset 21 years Lordosis (50%) Scoliosis (10%) Back pain[] […] and nerve conduction studies are generally both abnormal showing evidence of myopathy (small, short duration motor units) and a mixed pattern of myopathy and neuropathy.[] An electromyogram (EMG) is a graphic record of a muscle contraction in response to electrical stimulation. Half of all McArdle's cases have abnormalities in EMG.[]

  • Diabetic Amyotrophy

    Only five patients displayed asymmetric proximal lower limb wasting, weakness and pain, motor deficits in the remainder being either unilateral or bilateral and symmetrical[] pain that extended to the hand over a few weeks and right shoulder, extending into the right hand 3 months later.[] This enhances Diabetic Amyopathy The symptoms are typically unilateral and sometimes bilateral which include: Severe pain and muscle weakness in your hip and thigh or buttock[]

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