NCT06884371

Lumbar Paraspinal Muscle Fatty Infilteration

Is a Complete Fatty Infilteration of Lumbar Paraspinal Muscles an Indicator to a Serious Pathology: A Case Report

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 1 (actual)
• Sponsor: Noha Khaled Shoukry · Academic / Other
• Sex: Male
• Age: 20 Years – 40 Years
• Healthy volunteers: Not accepted

Summary

Introducing a unique clinical case of limb-girdle muscular dystrophy associated with LBP that was initially misdiagnosed as non-specific LBP

Detailed description

This case report describes the history, examination findings, and clinical reasoning used for a patient suffering from LBP as a chief complaint. A new sign appeared in MRI, which prompted the author to change the diagnosis process from lower back pain to a mysterious neurological disease, The MRI revealed widespread fat deposit in the lumbar paraspinal muscles. This MRI sign prompted the authors to do more lab investigation, showing a notably elevated level of creatinine phosphokinase (906 u/L). Further clinical examination revealed proximal muscle weakness, winging of scapula and Bilateral LMN facial palsy. Therefore, the patient was ultimately directed to a neurologist who confirmed the diagnosis of limb-girdle muscular dystrophy

Conditions

• Muscle Weakness

Interventions

Type	Name	Description
OTHER	physical therapy	ultrasound and TENS for the back

Timeline

• Start date: 2025-01-01
• Primary completion: 2025-02-28
• Completion: 2025-02-28
• First posted: 2025-03-19
• Last updated: 2025-03-19

Locations

1 site across 1 country: Egypt