title: Stiff limb syndrome: a case report.
abstract: 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.
authors.affiliation: Physical Medicine and Rehabilitation, El Ayachi Hospital, Mohamed V University, Coast Road Street, Sale, 11000, Morocco. hajjiouiabdo@yahoo.fr.
authors.forename: Abderrazak
authors.initials: A
authors.lastname: Hajjioui
authors.forename: Karima
authors.initials: K
authors.lastname: Benbouazza
authors.forename: Mohamed El Alaoui
authors.initials: Mel A
authors.lastname: Faris
authors.forename: Amina
authors.initials: A
authors.lastname: Missaoui
authors.forename: Najia Hajjaj
authors.initials: NH
authors.lastname: Hassouni