Shaky Leg Syndrome: A Case Report

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Shaky Leg Syndrome: A Case Report - Page #3

Lab Studies: None Other Studies: Lumbosacral X-rays: negative for any acute stress fracture, spondylosis, spondylolisthesis or degenerative changes. There is straightening of the normal lumbar lordosis consistent with spasm. MRI: no evidence of cord edema, no central canal or foraminal stenosis, no infiltrating masses. There is minimal disc bulge between L4-L5 and L5-S1. EMG: normal sensory and motor testing of the left lower limb and lumbar spine; however, there were grouped discharges associated with cramping in the distribution of the femoral nerve including the vastus medialis, vastus lateralis, rectus femoris consistent with femoral nerve inflammation or demyelinating injury without any evidence of axonal degeneration or denervation. Consultations: Physiatry for EMG study Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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