Abdominal Muscle Fasciculations and Amyotrophic Lateral Sclerosis Diagnosis in a Patient Unable to Perform Sit-Ups.
amyotrophic lateral sclerosis
fasciculations
motor neuron disease
muscle ultrasonography
sit-ups
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
accepted:
24
03
2022
entrez:
2
5
2022
pubmed:
3
5
2022
medline:
3
5
2022
Statut:
epublish
Résumé
While performing sit-ups, a 70-year-old man was unable to lift his upper body. The abdominal skin reflex was absent, and abdominal ultrasonography showed intermittent, irregular, and localized muscle twitches of the abdominal muscles. Further, electromyography (EMG) detected widespread fasciculations. Amyotrophic lateral sclerosis (ALS) was diagnosed. Muscle ultrasonography (MU) is useful in detecting fasciculations. This technique allows for repeated non-invasive imaging and the assessment of an expansive range of muscles in real-time. It also detects deep abdominal muscles, which are difficult to assess using EMG. MU is particularly beneficial to patients with atypical ALS who experience truncal muscle weakness.
Identifiants
pubmed: 35494912
doi: 10.7759/cureus.23498
pmc: PMC9038599
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e23498Informations de copyright
Copyright © 2022, Hori et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
BMC Neurol. 2021 Nov 10;21(1):441
pubmed: 34758775
Nat Rev Dis Primers. 2017 Oct 05;3:17071
pubmed: 28980624
J Clin Neurophysiol. 2020 Jul;37(4):294-298
pubmed: 33151660
Mayo Clin Proc. 2018 Nov;93(11):1617-1628
pubmed: 30401437
Clin Neurophysiol. 2008 Mar;119(3):497-503
pubmed: 18164242
Ann Neurol. 2014 Feb;75(2):287-97
pubmed: 24382602
Clin Neurophysiol. 2012 Aug;123(8):1662-7
pubmed: 22244867
Radiol Bras. 2020 Mar-Apr;53(2):116-121
pubmed: 32336828
Muscle Nerve. 2019 Aug;60(2):114-123
pubmed: 30989697
Pract Neurol. 2022 Jun;22(3):176-178
pubmed: 34992096
Clin Neurophysiol. 2017 Jun;128(6):1069-1074
pubmed: 28343888
Handb Clin Neurol. 2016;136:843-53
pubmed: 27430445
Lancet. 2017 Nov 4;390(10107):2084-2098
pubmed: 28552366
Amyotroph Lateral Scler Other Motor Neuron Disord. 2000 Dec;1(5):293-9
pubmed: 11464847
Eur J Neurol. 2012 Mar;19(3):360-75
pubmed: 21914052
J Neurol Neurosurg Psychiatry. 2011 May;82(5):552-4
pubmed: 20392981
Amyotroph Lateral Scler Frontotemporal Degener. 2019 Aug;20(5-6):413-420
pubmed: 31131638
Brain. 2010 Nov;133(11):3458-69
pubmed: 20959307
Clin Neurophysiol. 2017 Nov;128(11):2250-2257
pubmed: 29028499