Neurogenic muscle hypertrophy: a case report
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Muscular hypertrophy is caused mainly due to myopathic disorder. But, it is also rarely produced by neurogenic disorder. A 74-year-old woman complained of right calf pain with hypertrophy for several years. Recent lumbar spine magnetic resonance imaging (MRI) showed central and lateral canal narrowing at the L4-L5 intervertebral space. Lower extremity MRI revealed fatty change of right medial head of the gastrocnemius and soleus, causing right calf hypertrophy. Electrodiagnostic examinations including electromyography and nerve conduction velocity testing demonstrated 5th lumbar and 1st sacral polyradiculopathy. Integrating all the results, the diagnosis was neurogenic muscle hypertrophy. Neurogenic muscle hypertrophy is very rare, but we recommend that clinicians consider this problem when a patient complains of lower limb hypertrophy and pain. (Korean J Pain 2016; 29: 270-3)
Abstract
Muscular hypertrophy is caused mainly due to myopathic disorder. But, it is also rarely produced by neurogenic disorder. A 74-year-old woman complained of right calf pain with hypertrophy for several years. Recent lumbar spine magnetic resonance imaging (MRI) showed central and lateral canal narrowing at the L4-L5 intervertebral space. Lower extremity MRI revealed fatty change of right medial head of the gastrocnemius and soleus, causing right calf hypertrophy. Electrodiagnostic examinations including electromyography and nerve conduction velocity testing demonstrated 5th lumbar and 1st sacral polyradiculopathy. Integrating all the results, the diagnosis was neurogenic muscle hypertrophy. Neurogenic muscle hypertrophy is very rare, but we recommend that clinicians consider this problem when a patient complains of lower limb hypertrophy and pain. (Korean J Pain 2016; 29: 270-3)
참고문헌 (15)
- Gutmann L, "AAEM minimonograph #46 : neurogenic muscle hypertrophy", Muscle Nerve, 19, pp.811~818 (1996)
- Pareyson D, "Sghirlanzoni A. Neurogenic muscle hypertrophy. Report of two cases", J Neurol, 236, pp.292~295 (1989)
- Deffond D, "Neurogenic muscle hypertrophy : 3 cases", Rev Neurol(Paris), 152, pp.272~278 (1996)
- Krendel DA, "Calf enlargement, S1radiculopathy, and focal myositis", Muscle Nerve, 15, pp.517~518 (1992)
- Heuss D, "Muscle hypertrophy due to scarring of the S1 nerve root", Neurol Res, 22, pp.469~472 (2000)
- Walcott BP, "Pathological mechanism of lumbar disc herniation resulting in neurogenic muscle hypertrophy", J Clin Neurosci, 18, pp.1682~1684 (2011)
- Beydoun SR, "Calf muscle hypertrophy, complex repetitive discharges and spinal stenosis", Muscle Nerve, 16, pp.322~323 (1993)
- Mattle HP, "Isolated muscle hypertrophy as a sign of radicular or peripheral nerve injury", J Neurol Neurosurg Psychiatry, 54, pp.325~329 (1991)
- Liguori R, "Electromyography in myopathy", Neurophysiol Clin, 27, pp.200~203 (1997)
- Garmirian LP, "Discriminating neurogenic from myopathic disease via measurement of muscle anisotropy", Muscle Nerve, 39, pp.16~24 (2009)
- Swartz KR, "Unilateral calf hypertrophy seen in lumbosacral stenosis: case report and review of the literature", Spine (Phila Pa 1976), 27, pp.E406~E409 (2002)
- Lattanzi S, "Neurogenic muscle hypertrophy", Neurology, 83, pp.2191~ (2014)
- Costa J, "Pain and calf hypertrophy associated with spontaneous repetitive discharges treated with botulinum toxin", Clin Neurophysiol, 116, pp.2847~2852 (2005)
- Hemmi S, "Unilateral calf hypertrophy and focal myositis induced by S1radiculopathy: dramatic response to steroid treatment", BMJ Case Rep, 2013, pp.bcr2013200~ (2013)
- Gibson JN, "Surgical interventions for lumbar disc prolapse", Cochrane Database Syst Rev, pp.CD001350~ (2007)