Post-polio syndrome, spinal cord injury and statin myopathy: double trouble or incorrect diagnosis? Two case reports.

Abstract

OBJECTIVE:

To discuss the importance of a thorough clinical examination and evaluation of symptoms in upper and lower motor neurone lesions.

DESIGN:

Case report.

METHODS:

Post-polio outpatient clinic, Danderyds University Hospital, Stockholm, Sweden. We describe here two patients with a past history of poliomyelitis, who were experiencing increasing muscular weakness. Clinical evaluation led to diagnoses of spinal cord injury and statin myopathy, respectively.

CONCLUSION:

In order to make a correct diagnosis it is essential to distinguish between lower and upper motor neurone lesions. In the case of a lower motor neurone disorder a neurophysiological examination is necessary for a correct diagnosis, and is a prerequisite for adequate treatment and rehabilitation.

• Authors: Lars Werhagen, Kristian Borg
• Journal: Journal of rehabilitation medicine (J Rehabil Med) Vol. 43 Issue 8 Pg. 734-5 (Jul 2011) ISSN: 1651-2081 [Electronic] Sweden
• PMID: 21687926 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anticholesteremic Agents
• Hydroxymethylglutaryl-CoA Reductase Inhibitors

Topics

• Aged, 80 and over
• Anticholesteremic Agents (adverse effects)
• Diagnosis, Differential
• Female
• Humans
• Hydroxymethylglutaryl-CoA Reductase Inhibitors (adverse effects)
• Middle Aged
• Muscle Weakness (chemically induced, diagnosis)
• Muscular Diseases (chemically induced, diagnosis)
• Postpoliomyelitis Syndrome (diagnosis)
• Spinal Cord Injuries (diagnosis)
• Spinal Stenosis (diagnosis)