Muscle fasciculation

Dear Bloggers

Muscle fasciculation is something that we have all read about but which we rarely see---unless you actively look for it.

This patient developed a peripheral neuropathy with wasting of the thigh, anterior lower leg and calf muscles causing a foot drop as a result of a vasculitis.

As can be readily seen in the video below, with this patient sitting at rest (hence not using the lower limb muscles), there is spontaneous, involuntary, gross muscle contraction and fasciculation. Please pay close attention to the trough formed between the quadraceps and medial thigh muscles.