from Disorders of the Anterior Horn Cell
Published online by Cambridge University Press: 29 November 2024
A 27-year-old woman consulted the neurology clinic because of progressive muscle weakness in legs and arms. She noticed increasing difficulty in walking, with a maximum walking time of 15 minutes when there was a slight upwards slope, climbing stairs, and lifting heavy things. She had more and more frequent falls in which it felt like her legs suddenly could not bear her weight anymore. Once she fell, she wasn’t able to get up from the floor without help. At the time of referral, she also experienced problems rising from a sitting position. She also mentioned problems with repeated movements due to fatigability, for example, when she walked or was cleaning out the dishwasher.
In retrospect, she remembered that she had had a ‘typical’ walk from the age of five and had never been able to run. A subtle tremor of her fingers was already present in kindergarten. Her medical history was otherwise unremarkable. She had two healthy siblings.
To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.