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Electrophysiologic follow-up in whipple's disease

✍ Scribed by Dr. A. Cruz Martínez; Dr. P. González; Dr. E. Garza; Dr. E. Bescansa; Dr. B. Anciones


Publisher
John Wiley and Sons
Year
1987
Tongue
English
Weight
420 KB
Volume
10
Category
Article
ISSN
0148-639X

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✦ Synopsis


Neurologic and electrophysiologic findings in a 57-year-old man with Whipple's disease are reported. The patient had severe proximal weakness and weight loss of more than 20 kg. Conventional electromyography and nerve conduction studies suggested mild neuropathy in distal segments of lower limbs and myopathy in proximal muscles. Automatic analysis of the electromyogram in proximal muscles was consistent with rnyopathy. Conduction velocity of muscle fibers in situ showed low propagation velocity of the impulse. Weakness, weight loss, and all the electrophysiologic parameters improved after treatment, including a compression of the peroneal nerve at the knee, perhaps related to weight loss (slimmer's paralysis).


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