Lumbar Paraspinal Muscle Fatty Infilteration

March 18, 2025 updated by: Noha Khaled Shoukry

Is a Complete Fatty Infilteration of Lumbar Paraspinal Muscles an Indicator to a Serious Pathology: A Case Report

Introducing a unique clinical case of limb-girdle muscular dystrophy associated with LBP that was initially misdiagnosed as non-specific LBP

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This case report describes the history, examination findings, and clinical reasoning used for a patient suffering from LBP as a chief complaint. A new sign appeared in MRI, which prompted the author to change the diagnosis process from lower back pain to a mysterious neurological disease, The MRI revealed widespread fat deposit in the lumbar paraspinal muscles. This MRI sign prompted the authors to do more lab investigation, showing a notably elevated level of creatinine phosphokinase (906 u/L). Further clinical examination revealed proximal muscle weakness, winging of scapula and Bilateral LMN facial palsy. Therefore, the patient was ultimately directed to a neurologist who confirmed the diagnosis of limb-girdle muscular dystrophy

Study Type

Observational

Enrollment (Actual)

1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
      • Giza, Egypt, 12556
        • Faculty of physical therapy

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

A 22-year-old man who used to work eight hours a day sitting for a long time in an office

Description

Inclusion Criteria:

  • experiencing lower back stiffness and a dull back pain

Exclusion Criteria:

  • diabetes, heart disease, or muscle disease. any history of previous falls, accidents, surgeries, hospitalizations, and he denied any significant past illnesses, or allergies.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
An MRI of the lumbar spine
Time Frame: one month
one month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Noha Khaled Shoukry

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 1, 2025

Primary Completion (Actual)

February 28, 2025

Study Completion (Actual)

February 28, 2025

Study Registration Dates

First Submitted

March 13, 2025

First Submitted That Met QC Criteria

March 18, 2025

First Posted (Actual)

March 25, 2025

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

March 18, 2025

Last Verified

March 1, 2025

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • cairo university PT 1

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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