Focal neuromyotonia: do I love you?
We present a rare case of focal neuromyotonia in a 73-year-old woman with a follow up of 5 years. The clinical picture showed a fixed contraction of the 3rd and 4th finger of the left hand. Similar to other published cases, our patient suffered from COPD and was treated with beta-2-sympathomimetics. This clinical picture shows a rare but rather salient differential diagnosis of Dupuytren's contracture. EMG of the affected muscles may yield a diagnosis and prevent the patient from a long and ineffective treatment "odyssey".
Department of Neurology, Cantonal Hospital, Aarau, Switzerland. andreas.gantenbein@usz.ch
A R
AR
Gantenbein
M
M
Wiederkehr
C
C
Meuli-Simmen
G
G
Schwegler
D000368:Aged; D003937:Diagnosis, Differential; D004576:Electromyography; D005260:Female; D005385:Fingers / Q000503:physiopathology*; D006801:Humans; D020386:Isaacs Syndrome / Q000473:pathology / Q000503:physiopathology; D008137:Longitudinal Studies; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy