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Parascapular muscle atrophy as a delayed effect of radiation treatment
  1. Shivam Om Mittal1⇑,
  2. Bashar Katirji2
  1. 1 Department of Neurology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
  2. 2 Department of Neurology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USA
  1. Correspondence to Dr Shivam Om Mittal, Department of Neurology, Mayo Clinic College of Medicine,200 1st street SW, Rochester, MN 55902, USA; shivamommittal{at}gmail.com, mittal.shivam{at}mayo.edu

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A 73-year-old man presented to the neuromuscular clinic when his wife noted scalloping of his back muscles. He had neither noticed this muscle loss nor felt any weakness or sensory symptoms. He was treated for testicular cancer 35 years ago with abdominal surgery and had undergone mediastinal and para-aortic irradiation to treat the lymphatic spread. On …

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Footnotes

  • Competing interests  None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.  This paper was reviewed by Jon Walters, Swansea, UK.