TY - JOUR
T1 - Radial nerve palsy as a presenting feature of neuralgic amyotrophy
AU - Tsuboi, Hirofumi
AU - Sugeno, Naoto
AU - Nishiyama, Ayumi
AU - Tateyama, Maki
AU - Aoki, Masashi
PY - 2013/4
Y1 - 2013/4
N2 - A 28-year-old man noticed weakness in his left arm when he woke up. He was diagnosed as left radial nerve palsy and managed conservatively at a local hospital. A few days later, severe pain of the brachium appeared. Although severe pain improved in a year, dysesthesia and muscle atrophy remained. On admission, muscle weakness and atrophy were found in muscles innervated predominantly by the left radial nerve. In addition, needle-electromyography and computed tomography revealed the involvement of muscles innervated by the left suprascapular, long thoracic and axillary nerves, and we diagnosed the patient as neuralgic amyotrophy. Neuralgic amyotrophy should be kept in mind in diagnosing acute onset, painful radial palsy.
AB - A 28-year-old man noticed weakness in his left arm when he woke up. He was diagnosed as left radial nerve palsy and managed conservatively at a local hospital. A few days later, severe pain of the brachium appeared. Although severe pain improved in a year, dysesthesia and muscle atrophy remained. On admission, muscle weakness and atrophy were found in muscles innervated predominantly by the left radial nerve. In addition, needle-electromyography and computed tomography revealed the involvement of muscles innervated by the left suprascapular, long thoracic and axillary nerves, and we diagnosed the patient as neuralgic amyotrophy. Neuralgic amyotrophy should be kept in mind in diagnosing acute onset, painful radial palsy.
KW - Brachial plexus neuropathy
KW - Mononeuritis multiplex
KW - Neuralgic amyotrophy
KW - Radial nerve
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U2 - 10.5692/clinicalneurol.53.312
DO - 10.5692/clinicalneurol.53.312
M3 - Article
C2 - 23603548
AN - SCOPUS:84876360881
VL - 53
SP - 312
EP - 315
JO - Clinical Neurology
JF - Clinical Neurology
SN - 0009-918X
IS - 4
ER -