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A Fisherman Who Can Not Peel Shrimp Any More

By Aziz Shaibani, MD, FACP, FAAN

A 21-year-old shrimp peeler developed weakness of his fingers five years earlier that progressed to a degree that was not compatible with his job. He had no neck pain, arm numbness, dysphagia or muscle twitching. Family history was not relevant. Examination is shown. CPK was 530 U/L and EMG revealed chronic diffuse denervation of the arms muscles with normal sensory and motor responses. EMG of the legs was normal.

To read the case challenge, click here or see the July/August edition of Practical Neurology®
To read the case solution, see the September edition.

 
 

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About Practical Neurology

Launched in January 2002, Practical Neurology strives to enhance quality of care and improve the daily operation of neurology practices. Each month, our experts explain the real-world significance of recent advances in neurologic science and offer step-by-step advice on how to overcome the clinical and business challenges neurologists face. Our straightforward, how-to articles give neurologists tools they can put into practice right away.

 
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