Clinical reasoning: A 51-year-old woman with weakness and stiff neck

Charles D. Kassardjian, Margherita Milone

Research output: Contribution to journalArticlepeer-review


A 51-year-old woman presented to the neuromuscular clinic for evaluation of predominantly proximal bilateral lower limb weakness that had slowly progressed for 5 years. However, her husband noted that for at least 20-30 years she has had a waddling gait. She denied upper limb weakness, ptosis, diplopia, bulbar symptoms, and fluctuations of the weakness. There was no history of myalgia, cramps, or urine discoloration. She had no sensory symptoms, cognitive changes, or cardiorespiratory symptoms.

Original languageEnglish (US)
Pages (from-to)e32-e36
Issue number4
StatePublished - Jul 28 2015

ASJC Scopus subject areas

  • Clinical Neurology


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