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Focal myositis associated with S-1 radiculopathy: report of two cases.
[focal myositis]
Two
cases
are
described
of
pseudotumoral
calf
hypertrophy
after
laminectomy
for
a
compressive
S-
1
radiculopathy
.
The
serum
creatine
kinase
(
CK
)
level
was
normal
or
mildly
elevated
.
T
2
-
weighted
magnetic
resonance
imaging
(
MRI
)
showed
calf
enlargement
,
with
an
increased
signal
of
the
medial
head
of
the
gastrocnemius
muscle
.
Electromyography
revealed
fibrillation
potentials
and
positive
sharp
waves
,
but
no
complex
repetitive
discharges
in
the
affected
gastrocnemius
muscle
,
with
motor
unit
potentials
having
mixed
neurogenic
and
myopathic
features
.
Muscle
biopsy
revealed
a
focal
myositis
associated
with
some
features
of
denervation
.
A
brief
course
of
corticosteroids
was
followed
by
remission
clinically
and
improvement
in
the
MRI
findings
.
Diseases
Validation
Diseases presenting
"with an increased signal of the medial head of the gastrocnemius muscle"
symptom
focal myositis
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