[
    {
        "id": "osp-2002",
        "type": "article-journal",
        "title": "Bilateral Upper Limb Weakness",
        "author": [
            {
                "family": "Vadivalagianambi",
                "given": "Sivakumar"
            },
            {
                "family": "Indiran",
                "given": "Venkatraman"
            }
        ],
        "URL": "https://omanscience.com/en/articles/bilateral-upper-limb-weakness",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2018
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2018.49",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "abstract": "A 21-year-old male presented with a six-month history of bilateral progressive hand and forearm muscle weakness and atrophy. He had no sensory symptoms. Power in both hands and forearms was 3/5 and 4/5, respectively. Weakness and wasting on both sides were nearly symmetrical, and his tendon reflexes were normal. There were no fasciculations/polyminimyoclonus or autonomic disturbances. He had no past medical history, allergy history, or relevant family history. Clinical exam revealed normal blood pressure (120/80 mmHg) and pulse rate (80 beats/minute). Routine blood workup (hemogram, blood sugar, and renal function tests) were normal. Plain cervical spine radiographs were within normal limits."
    }
]