AANEM Connect
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Sensory neuropathy
I just had 28 year old man referred for an EMG. Symptoms started about 6 months ago. Numbness in arms and legs . All the same. He was much worse at the beginning and was unable to walk. He uses a cane currently. Poor historian. 2+ upper and absent lower. Full strength.
All thought to be alcoholic. He was a heavy drinker for few months per his report???
could not get any sensory in 4 rextremities. LE motor, very low amplitude or absent. Upper motor is normal. No delayed latency or slow conduction velocity.
No pain at the onset.
EMG is the confusing part. Quads with 3+ fibs. Legs with no fibs but slightly large and polyphasic units. Upper is ok. Lumber paraspinal with no fibs.
I was thinking sensory neuronopathy until I stuck the needle in the quads.
Thoughts???
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