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Journal of Case Reports
An Organic Cause for Perceived Muscle Weakness
Thangavelu Senthilvelkumar1, Thamaraiselvan Aravindan1, Ajith Sivadasan2
1Department of Physical Medicine and Rehabilitation; 2Department of Neurology and Neurosciences, Christian Medical College, Vellore 632004, Tamil Nadu, India. 
Corresponding Author:
Mr. Thangavelu Senthilvelkumar 
Email: sentheel@gmail.com
Received: 29-MAR-2020 Accepted: 09-MAY-2020 Published Online: 20-MAY-2020
DOI: http://dx.doi.org/10.17659/01.2020.0027
Background: Although neurological conditions present with specific clinical patterns, practitioners often encounter patients with vague symptom complexes. Delayed diagnosis and unnecessary medications can lead to iatrogenic effects and poor prognosis. Case Report: This paper reports a 21-year-old girl who perceived right upper extremity monoplegia following a trauma, which did not fit into the traditional neurological diagnosis. Her movement patterns during physiotherapy were suggestive of the central fatigue related reduction of function. Focused behavioral neuro-rehabilitation approach based training helped her to regain her upper extremity function. Conclusion: Central fatigue may be considered as a differential diagnosis when atypical muscle weakness occurs following a probable physical exertion.
Keywords : Differential Diagnosis, Fatigue, Muscle Weakness, Nervous System Diseases, Prognosis.
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