Bilateral Foot Drop secondary to Nonaka Myopathy 48 yr old lady, difficulty in climbing stairs x 8 months. CPK 100 Ul/l, foot wear slips off. On examination with bilateral foot drop. EMG show EMG shows Complex repetitive discharges in the left TA. Genetic testing is positive for GNE. Final Dx- Heterozygous Autosomal recessive Nonaka myopathy. GNE myopathy, also known as HIBM, Nonaka myopathy, IBM2 and distal myopathy with rimmed vacuoles. These patients exhibit a characteristic bilateral foot drop. Dr. Boby Varkey Maramattom @bobvarkey #Bilateral #Foot #Drop #Nonaka #GNE #Myopathy #clinical #video #physicalexam #gait #neurology
