Clinical Reasoning: A 58-Year-Old Man With Resting Tremor, Bradykinesia, and Distal Numbness.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40982768.
- Also identified by DOI 10.1212/WNL.0000000000214183.
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Abstract
A 58-year-old man presented with progressive right-hand loss of dexterity and resting tremor over 2 years, accompanied by sensory symptoms in the distal extremities and chronic cough. Neurologic examination revealed asymmetric parkinsonism, distal hypoesthesia, and decreased vibratory sensation. Nerve conduction studies revealed a non-length-dependent axonal polyneuropathy. This case presents a structured approach to both parkinsonism and polyneuropathy, and the clinical reasoning necessary when dealing with multiple system involvement, in which different differential diagnoses should be considered.
Medical subject headings
- Tremor
- Hypesthesia
- Hypokinesia
- Polyneuropathies
- Clinical Reasoning
- Parkinsonian Disorders