Hello doctor,
This query concerns my dear friend's son, a 14-year-old who has suddenly developed dystonia in his left arm. I apologize for not having a detailed history regarding the case, as my friend and his son are abroad. However, their doctor has suggested his problem may be genetic even though no one in his family has similar complaints. Please go through his medical records, which are attached, sir. Do you concur with the assessment of his doctors? As of now, they have suggested physiotherapy for his problems. Sir, could you suggest neurorehabilitation or a higher centre in our country which my friend could consult for further management of this problem. Thank you.
Hi,
Welcome to icliniq.com.
To summarize the facts in common terms, the first consultation shows (attachments removed to protect the patient's identity) that there is predominant wasting of the left hand affecting the parts below the elbow more, which is associated with weakness (not confined to the distribution of one particular nerve), no sensory involvement is there. Though he has mentioned dystonia (irresistible posturing of parts due to contraction of a group of muscles), the patient has no complaint, so it is neither a muscle nor a nerve disease. It originates in anterior horn cells, the cell where the fibers of nerve originate in the spine affecting only the motor nerves and not affecting the sensation. In a broad group, it is suggestive of localized ANT (anterior) horn cells. A more detailed history and careful look at the patient will probably clear the picture and prognosticate.
Regards.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Will physiotherapy help to treat Erb's palsy?
.. for providing the brief history of your daughter. I am sorry firstly to hear that your daughter is being diagnosed with Erb's palsy. Well, I would suggest you to continue physiotherapy for atleast three days a week as it will be of good help for h... Read full
Can physiotherapy heal diastasis recti?.. all, congratulations for delivering a beautiful baby. I have gone through your medical history in detail. Diastasis of 2.5 cm is considered a moderate degree of diastasis as far as our classification is considered. Diastasis is usually hard to he... Read full
Why is there pain in neck when I move it?You have neck muscle dystonia which causes severe pain especially when you move your neck ... Read full
Comprehensive Medical Second Opinion.
