Approach to Hand Weakness from Clinical,
Neurophysiological, Neuroradiological and
Laboratory Data

Asmaa Belal; Osama Ragab; Ehab Shawky; Wael Fadel; Heba Rafaat

Research Article

Approach to Hand Weakness from Clinical, Neurophysiological, Neuroradiological and Laboratory Data

Asmaa Belal¹, Osama Ragab¹*, Heba Rafaat², Ehab Shawky¹, Tarek El-Gammal¹ and Wael Fadel¹

¹ Department of Neurology, Tanta University, Egypt

¹ Department of Neurology, Cairo University, Egypt

Corresponding Author

Received Date: January 08, 2020; Published Date: January 21, 2020

Abstract

Introduction:: The current study aimed to develop an easy approach to the different neuromuscular disorders causing hand weakness.

Methods: 81 patients suffering from unilateral or bilateral hand weakness were subjected to neurological examination and electrophysiological assessment and imaging of the cervical cord by Magnetic resonance image for patients with mixed upper and lower motor neuron lesion.

Results:Inflammatory disorders were [24]; demyelinating neuropathy (5), axonal neuropathy (17), polymyositis (1) and myasthenic myopathy (1). Compressive disorders were [22]; median entrapment (11), radial and ulnar entrapment (5), degenerative radiculopathy, myelopathy (3), cervical syringomyelia (1) and thoracic outlet syndrome (1). Motor neuron disease (17). Hereditary disorders were [12]; myotonia (7), myopathy (2) and hereditary neuropathy (3). Traumatic disorders were [6]; radial and ulnar injury (4) and brachial plexus injury (2).

Discussion:We concluded that; inflammatory disorders were the most frequent causes of hand weakness. An algorithmic approach of hand weakness was concluded.

Keywords:Hand weakness; Neurophysiology; Neuropathy; Myopathy; Myasthenia; Diagnostic approach

Article Details

Citation

Asmaa Belal, Osama Ragab, Heba Rafaat, Ehab Shawky, Tarek El-Gammal, Wael Fadel. Approach to Hand Weakness from Clinical, Neurophysiological, Neuroradiological and Laboratory Data. Arch Neurol & Neurosci. 6(4): 2020. ANN.MS.ID.000645.