Lumbar Paraspinal Muscle Fatty Infilteration

Noha Khaled Shoukry1 enrolled

Overview

Introducing a unique clinical case of limb-girdle muscular dystrophy associated with LBP that was initially misdiagnosed as non-specific LBP

This case report describes the history, examination findings, and clinical reasoning used for a patient suffering from LBP as a chief complaint. A new sign appeared in MRI, which prompted the author to change the diagnosis process from lower back pain to a mysterious neurological disease, The MRI revealed widespread fat deposit in the lumbar paraspinal muscles. This MRI sign prompted the authors to do more lab investigation, showing a notably elevated level of creatinine phosphokinase (906 u/L). Further clinical examination revealed proximal muscle weakness, winging of scapula and Bilateral LMN facial palsy. Therefore, the patient was ultimately directed to a neurologist who confirmed the diagnosis of limb-girdle muscular dystrophy

Study Type

OBSERVATIONAL

Enrollment

Conditions

Muscle Weakness

Interventions

physical therapyOTHER

ultrasound and TENS for the back

Eligibility

Sex: MALEMin age: 20 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * experiencing lower back stiffness and a dull back pain Exclusion Criteria: * diabetes, heart disease, or muscle disease. any history of previous falls, accidents, surgeries, hospitalizations, and he denied any significant past illnesses, or allergies.

Locations (1)

Faculty of Physical Therapy

Giza, Egypt

Outcomes

Primary Outcomes

An MRI of the lumbar spine

Time frame: one month

Data from ClinicalTrials.gov

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