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Nerve conduction studies,electromyography,and muscle biopsy revealed the typical features of necrotizing myopathy with loss of thick filaments.This case demonstrates that high-dose corticosteroid therapy can induce asymmetrical myopathic weakness.Hemiplegia evolving to triplegia in a setting of corticosteroid treatment could potentially misdirect the diagnosis toward a lesion of the brain or spinal cord.When a central nervous system abnormality cannot be demonstrated,a search for a peripheral abnormality,such as myopathy,is warranted. |
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cerebrovascular accident,misdiagnosis
critical care unit
hemiparesis
iatrogenic neurologic disorders
misdiagnosis
muscle biopsy
myopathy
myopathy,acute
myopathy,critically ill
myopathy,drug-induced
myopathy,necrotizing
myopathy,steroid induced
steroid
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