Open Access 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


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

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