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  • Title: Progressive arm weakness and tonic hand spasm from multifocal motor neuropathy in the brachial plexus.
    Author: Veltkamp R, Krause M, Schranz C, Meinck HM.
    Journal: Muscle Nerve; 2003 Aug; 28(2):242-5. PubMed ID: 12872332.
    Abstract:
    A 50-year-old waitress presented with a 10-year history of progressive weakness in her right arm without atrophy and with tonic hand spasms suggesting a central motor disorder. Electromyography, however, disclosed chronic neurogenic changes including fasciculations and atypical cramps. Isolated motor conduction block in the right brachial plexus suggested a variant of multifocal motor neuropathy. Strength recovered and cramps disappeared after intravenous immunoglobulins. Motor neuropathies may thus manifest with features of central motor disorders.
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