Neurogenic muscle hypertrophy: a case report.
10.3344/kjp.2016.29.4.270
- Author:
Hyun Ho SHIN
1
;
Young Hoon JEON
;
Seung Won JANG
;
Sae Young KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine, Daegu, Korea.
- Publication Type:Case Report
- Keywords:
Hypertrophy;
Muscle weakness;
Nervous system diseases;
Radiculopathy;
Spine;
Steroids
- MeSH:
Aged;
Diagnosis;
Electromyography;
Female;
Head;
Humans;
Hypertrophy*;
Lower Extremity;
Magnetic Resonance Imaging;
Muscle Weakness;
Nervous System Diseases;
Neural Conduction;
Polyradiculopathy;
Radiculopathy;
Spine;
Steroids
- From:The Korean Journal of Pain
2016;29(4):270-273
- CountryRepublic of Korea
- Language:English
-
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 5(th) lumbar and 1(st) 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.
