26th August 2024

A 41-year-old man is referred to clinic with left hand weakness. He describes weakness in his left hand

A 41-year-old man is referred to clinic with left hand weakness. He describes weakness in his left hand evolving over the past few months. On examination, he has weakness of wrist flexion of his left side, you also detect weakness of thumb abduction on the left and there is some wasting of the muscles of the hand and forearm. You also note weakness in wrist extension on the right. The rest of the motor examination is normal. Sensory examination is normal. You request nerve conduction studies, which demonstrate a demyelinating pathology in the affected nerves with significant conduction blocks.

What should this patient be offered?

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