case_images: PMC9218888_01
case_images: Brain MRI: Sagital T1 (A) and Axial Flair (B) being normal. Cervical MRI: Sagital T2 (C) and Axial T2 (D) with normal findings.
case_images: 10.1177_11795476221106759-fig1.jpg
case_images: PMC9218888_01_10.1177_11795476221106759-fig1.jpg
case_images: fig1-11795476221106759
case_images: She was assessed by neurology who requested brain and cervical MRI (Figure 1) and a study of cerebrospinal fluid, which were found to be normal.
case_images: Electromyography of the right peroneus longus (A) and left tibialis anterior (B) muscles show spontaneous pathological activity given by positive waves and fibrillations and left biceps (C) with increased recruitment with potentials of low amplitude and short duration. Nerve conduction velocity of the median motor nerve (D) was found to be normal, with decreased amplitude of potentials bilaterally, no sensory potentials are evoked. Neurophysiological study of 4 limbs with signs of fiber denervation and irritation with a myopathic pattern and polyneuropathic involvement with an axonal pattern.
case_images: 10.1177_11795476221106759-fig2.jpg
case_images: PMC9218888_01_10.1177_11795476221106759-fig2.jpg
case_images: fig2-11795476221106759