- Joined
- Oct 2, 2007
- Messages
- 4,182
- Reaction score
- 37
39 yo female with 1 year of left arm weakness and numbness, unknown etiology. Not worsening over time. Pain is elbow, forearm and palm, numbness is median nerve and forearm. Strength grossly normal except APB and she cannot bend DIP index. Sensory testing normal except paresthesias in a median nerve distribution. No neck pain. Reflexes normal.
Median motor - 4.7 (<4.2 nl) ms distal onset, 3.5 (>5.0) mV amplitude, 47 (>50) m/s NCV in forearm.
Ulnar motor - 3.1 ms (<3.3) distal onset, 6.7 (>3.0) mV amplitude, 53 forearm NCV, 64 across elbow (>50).
Median sensory orthodromic 2.7 (<2.5) ms, 15 (>10) mcV
Ulnar sensory orthodromic 2.5 ms, 18 mcV
Radial sensory orthodromic 2.5 ms, 12 mcV
Needle normal deltoid, triceps, biceps, pronator teres, FPL, FPS and FDIM.
PQ showed 2+ fibs and 3+ PSW, normal amplitudes, some dispersion, poor recruitment. FPL not sure I was in it due to lack of recruitment. APB showed 1+ PSW, slightly reduced recruitment.
PT syndrome or CTS + AIN? I voted PT syndrome.
Median motor - 4.7 (<4.2 nl) ms distal onset, 3.5 (>5.0) mV amplitude, 47 (>50) m/s NCV in forearm.
Ulnar motor - 3.1 ms (<3.3) distal onset, 6.7 (>3.0) mV amplitude, 53 forearm NCV, 64 across elbow (>50).
Median sensory orthodromic 2.7 (<2.5) ms, 15 (>10) mcV
Ulnar sensory orthodromic 2.5 ms, 18 mcV
Radial sensory orthodromic 2.5 ms, 12 mcV
Needle normal deltoid, triceps, biceps, pronator teres, FPL, FPS and FDIM.
PQ showed 2+ fibs and 3+ PSW, normal amplitudes, some dispersion, poor recruitment. FPL not sure I was in it due to lack of recruitment. APB showed 1+ PSW, slightly reduced recruitment.
PT syndrome or CTS + AIN? I voted PT syndrome.