A reversible severe gait disorder
A 53-year-old man was admitted for a 6-month progressive disabling gait disorder, weight loss, and increasing fatigue. Examination revealed a markedly impaired gait and flexion contractures of hips and knees, with limited extension (video 1 at Neurology.org). EMG and whole neuraxis MRI were normal....
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| Published in: | Neurology Vol. 87; no. 14; p. 1521 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
American Academy of Neurology
04-10-2016
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| Online Access: | Get full text |
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| Summary: | A 53-year-old man was admitted for a 6-month progressive disabling gait disorder, weight loss, and increasing fatigue. Examination revealed a markedly impaired gait and flexion contractures of hips and knees, with limited extension (video 1 at Neurology.org). EMG and whole neuraxis MRI were normal. Laboratory workup proved primary adrenal insufficiency (AI) (serum cortisol 2.4 [mu]g/dL, ACTH 513.8 pg/mL). Flexion contractures of the lower limbs[1,2] (FCLL) due to AI was suspected. |
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| Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 ObjectType-Article-1 ObjectType-Feature-2 |
| ISSN: | 0028-3878 1526-632X |
| DOI: | 10.1212/WNL.0000000000003190 |