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Progressive Lower Limb Weakness

Progressive Lower Limb Weakness

  • 56-year-old man presents with progressive weakness in lower limbs for four to five years and occasional episodes of spontaneous falling.
  • Figure 1. MRI at the level of upper thighs: Axial T1 weighted pulse sequence shows symmetric atrophy, fatty infiltration, and edema of the bilateral quadriceps muscles (arrows)
  • Figure 2. Short inversion tau recovery (STIR) pulse sequence shows symmetric atrophy, fatty infiltration and edema of the bilateral quadriceps muscles (arrows).
  • Diagnosis: Inclusion body myositis
  • Inclusion body myositis (IBM) is the most common idiopathic inflammatory myopathy occurring in patients over age 50.
  • Typical MRI findings include bilateral and symmetrical involvement of muscles with fatty infiltration and edema.
  • There is no definitive cure or standard course of treatment for IBM.

Case History: 56-year-old man presents with progressive weakness in lower limbs for four to five years and occasional episodes of spontaneous falling.

Comments

Muy interesante. Gracias

eduardo @

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