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Japanese

Distal-type Cervical Spondylolisthesis Muscular Atrophy in a Patient with Dupuytren Contracture: A Case Report Kimiharu Fuseya 1 , Nobuaki Yoshikura 1 , Yoya Ono 1 , Akira Takekoshi 1 , Akio Kimura 1 , Takayoshi Shimohata 1 1Department of Neurology, Gifu University Graduate School of Medicine Keyword: デュプュイトラン拘縮 , 遠位型頸椎症性筋萎縮症 , 徒手筋力検査 , Dupuytren contracture , distal-type cervical spondylolisthesis , manual muscle test pp.1303-1307
Published Date 2019/11/1
DOI https://doi.org/10.11477/mf.1416201440
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Abstract

We report the case of a 71-year-old man with impaired left finger extension. The presence of nodular fibrosing lesions in his palm suggested Dupuytren contracture as the diagnosis. However, detailed neurological examination revealed muscle weakness associated with C7-Th1 lesions, and needle electromyography revealed denervation within the same distribution. Therefore, the patient was diagnosed with distal-type cervical spondylolisthesis muscular atrophy complicated with Dupuytren contracture. Due to shared symptoms with impaired finger extension, the other two conditions can be overlooked in patients affected by both diseases. Detailed clinical investigation of nodular fibrosing lesions, muscle weakness at the C7-Th1 level, and needle electromyography findings facilitate differential diagnosis of Dupuytren contracture and distal-type cervical spondylolisthesis.

(Received June 24, 2019; Accepted September 17, 2019; Published November 1, 2019)


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電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

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