An unusual cause of quadriceps atrophy

✍ Scribed by Michael R. Rose; Robert C. Griggs

• Publisher: John Wiley and Sons
• Year: 1998
• Tongue: English
• Weight: 100 KB
• Volume: 21
• Category: Article
• ISSN: 0148-639X
• DOI: 10.1002/(sici)1097-4598(199802)21:2<233::aid-mus11>3.0.co;2-2

✦ Synopsis

Symmetrical loss of muscle bulk in the anterior other findings, raising concern that he might have amyotrophic lateral sclerosis. thighs is a frequent finding in many progressive neuromuscular diseases. Weakness is often overlooked

Examination. There was loss of thigh bulk anteriby patients and it is not uncommon for muscle atroorly with apparent atrophy of both quadriceps musphy to prompt evaluation of the patient for neurocles, particularly the rectus femoris (Fig. ). Strength muscular disease. We report a patient referred for of knee extension, hip flexion, knee flexion, and hip evaluation of suspected amyotrophic lateral sclerosis extension were normal on formal testing. The patient in whom the past history ultimately provided the clue could rise from a knee bend normally and had a to a diagnosis that could also have been made by normal gait. The muscle stretch reflexes were 2ϩ physical examination.

including the quadriceps and there were no abnormal sensory findings.