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Neurological Cases

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Dec 14, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis ?

    Neurological Cases.jpg
     

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  2. neo_star

    neo_star Moderator

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    [​IMG]

    P.S : the lower part of the trapezius ( shoulder region itself ), receives some supply from the cervical plexus and hence is relatively spared.
     

    Last edited: Dec 15, 2012
  3. dr.angela

    dr.angela Bronze Member

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    Myotonic atrophy
     

  4. neo_star

    neo_star Moderator

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    one more differential according to my friend, Emik ( an orthopedic ) is supraspinatus tendon injury, followed by atrophy.
     

  5. maruis

    maruis Moderator

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    I would like to see his SCM but it appears his trapezius is atrophied - possible accessory nerve palsy
     

  6. Rocket Queen

    Rocket Queen Super Moderator

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    Atrophy of the right trapezius
     

  7. neo_star

    neo_star Moderator

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    I am putting forth another strong differential - AXILLARY NERVE INJURY.

    It's very subtle, but i looked carefully and noticed a slight drooping of the right shoulder and what we are seeing as trapezius atrophy, may well be deltoid atrophy.

    Another possibility is C4, C5 nerve root damage - which could affect the levator scapulae ( but that doesn't seem to be the case from this image. )
     

  8. neo_star

    neo_star Moderator

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    Now, that i know the entire story - it's a case of axillary nerve injury, leading to deltoid atrophy on the left side.

    @ Egyptian Doctor - Bro, this was really hard :ambivalence:

    [​IMG]

    same guy front on ( taken at the same time as above ) and even from this image it would be hard to pick, becos most rt. dominant people will have slightly bigger muscles on the right side.

    Read entire story here - Very interesting case of Axillary nerve damage in a 22-year-old rugby player « Functional Anatomy Seminars – Functional Anatomic Palpation Systems
     

  9. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Axillary Nerve Injury
     

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