Stiff limb syndrome: a case report.
BACKGROUND
Stiff limb syndrome is a clinical feature of the stiff person syndrome, which is a rare and disabling neurologic disorder characterized by muscle rigidity and episodic spasms that involve axial and limb musculature. It is an autoimmune disorder resulting in a malfunction of aminobutyric acid mediated inhibitory networks in the central nervous system. We describe a patient diagnosed by neurological symptoms of stiff limb syndrome with a good outcome after treatment, and a review of the related literature.


METHODS
A 49-year-old male patient presented with a progressive stiffness and painful spasms of his both legs resulting in a difficulty of standing up and walking. The diagnosis of stiff limb syndrome was supported by the dramatically positive response to treatment using diazepam 25 mg/day and baclofen 30 mg/day.


CONCLUSIONS
This clinical case highlights the importance of a therapeutic test to confirm the diagnosis of stiff limb syndrome especially when there is a high clinical suspicion with unremarkable electromyography.
Hajjioui
Abderrazak
A
Physical Medicine and Rehabilitation, El Ayachi Hospital, Mohamed V University, Coast Road Street, Sale, 11000, Morocco. hajjiouiabdo@yahoo.fr.
Benbouazza
Karima
K
Faris
Mohamed El Alaoui
Mel A
Missaoui
Amina
A
Hassouni
Najia Hajjaj
NH