title: Neurogenic muscle hypertrophy: a case report.
abstract: Muscular hypertrophy is caused mainly due to myopathic disorder. But, it is also rarely produced by neurogenic disorder. A 74-year-old woman complained of right calf pain with hypertrophy for several years. Recent lumbar spine magnetic resonance imaging (MRI) showed central and lateral canal narrowing at the L4-L5 intervertebral space. Lower extremity MRI revealed fatty change of right medial head of the gastrocnemius and soleus, causing right calf hypertrophy. Electrodiagnostic examinations including electromyography and nerve conduction velocity testing demonstrated 5thlumbar and 1stsacral polyradiculopathy. Integrating all the results, the diagnosis was neurogenic muscle hypertrophy. Neurogenic muscle hypertrophy is very rare, but we recommend that clinicians consider this problem when a patient complains of lower limb hypertrophy and pain.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine, Daegu, Korea.
authors.forename: Hyun Ho
authors.initials: HH
authors.lastname: Shin
authors.affiliation: Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu, Korea.
authors.forename: Young Hoon
authors.initials: YH
authors.lastname: Jeon
authors.affiliation: Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
authors.forename: Seung Won
authors.initials: SW
authors.lastname: Jang
authors.affiliation: Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
authors.forename: Sae Young
authors.initials: SY
authors.lastname: Kim
keywords: Hypertrophy; Muscle weakness; Nervous system diseases; Radiculopathy; Spine; Steroids