A 55 Year Old Male Mechanic with Right Hand Weakness
A 50-year-old right-hand dominant male mechanic presents with a 9-month history of progressive difficulty with performing his job due to weakness in the right hand. He states that he has been dropping objects with his dominant hand and has started performing tasks with his left hand more frequently since he does not have any symptoms on the left. He does endorse long-standing neck pain and waking at night due to hand numbness. He also describes an aching sensation in his forearm. He denies any trauma.
Cranial nerves II-XII are intact
DTRs – 2+ upper and lower extremities
Strength- 5/5 upper extremities except for 4/5 right hand intrinsic muscles
Decreased sensation to pinprick in the right fifth digit
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