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Posted On : 31 Jan 2011

1 year old male baby with sudden inability to use right upper limb ,not able to crawl for past one day.NO associated symptoms.NO history of trauma.preliminary X ray normal.NO significant past and family history.Activities restricted totally in rt upper limb.

Expert Answer :

Answer Discussion :

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Heena Patel

0

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DrMohit Kehar

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Kedar Sawleshwarkar

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JAYANT

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N

Niyaz Ahmad Buch

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poliomylitis

14 years ago

Answer 1

What is the tone and reflexes in the limb_? If the child has hypotonia with absent reflexes it suggests either neuronal shock or LMN lesion in which case EMG, NCV would be required. If the tone is increased with brisk reflexes then it suggests UMN lesion and neuroimaging may be required. If the child has pain on moving the limb, rule out trauma, fracture and septic arthritis or joint dislocation.

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