01 July 2022
: Case report 
Adalimumab Mitigates Lumbar Radiculopathy in a Case of Ankylosing Spondylitis
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare coexistence of disease or pathology
Trevor Persaud1ABCDEFG*, Richard Morgan
1ABCDEFG, Hein Linn Thant1ABCDEFG, Francis J. DeAsis 1ABCDEFG, Felix Ferre1DEFG, Jose Diaz 1BDEF
DOI: 10.12659/AJCR.936600
Am J Case Rep 2022; 23:e936600
Table 1. Muscle strength grading and deep tendon reflexes (on last visit).
| MRC* | |||
|---|---|---|---|
| Wrist extension | 5/5 | 5/5 | |
| Wrist flexion | 5/5 | 5/5 | |
| Elbow extension | 5/5 | 5/5 | |
| Elbow flexion | 5/5 | 5/5 | |
| Shoulder abduction | 5/5 | 5/5 | |
| Ankle dorsiflexion | 5/5 | 5/5 | |
| Ankle plantarflexion | 5/5 | 5/5 | |
| Knee extension | 5/5 | 5/5 | |
| Knee flexion | 5/5 | 5/5 | |
| Hip flexion | 5/5 | 5/5 | |
| * Medical Research Council muscle strength scale (Graded 0–5); ** NINDS (National Institute of Neurological Disorders and Stroke) Myotatic Reflex Scale for deep tendon reflexes (Graded 0–4). MRC – Medical Research Council; DTR – deep tendon teflexes. | |||
| DTR** | |||
| Patellar | 2/4 | 2/4 | |
| Ankle | 2/4 | 2/4 | |
| Brachioradialis | 2/4 | 2/4 | |
| Biceps | 2/4 | 2/4 | |
| Triceps | 2/4 | 2/4 | |
| Triceps | 2/4 | 2/4 | |
| Plantar response | Negative reflexes bilaterally | ||
| Faber test | Positive on the left side only | ||
| Straight leg raise | Negative bilaterally | ||
| Schober test | Positive (lumbar flexion difference is 4 cm) | ||
| * Medical Research Council muscle strength scale (Graded 0–5); ** NINDS (National Institute of Neurological Disorders and Stroke) Myotatic Reflex Scale for deep tendon reflexes (Graded 0–4). MRC – Medical Research Council; DTR – deep tendon teflexes. | |||