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Case 19 - Idiopathic Brachial Plexus Neuropathy, Neuralgic Amyotrophy (NA)

from Peripheral Neuropathies

Published online by Cambridge University Press:  29 November 2024

Jessica E. Hoogendijk
Affiliation:
University Medical Center Utrecht
Marianne de Visser
Affiliation:
Amsterdam University Medical Center
Pieter A. van Doorn
Affiliation:
Erasmus MC, University Medical Center, Rotterdam
Erik H. Niks
Affiliation:
Leiden University Medical Center
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Summary

A 33-year-old man was referred because of winging of the right scapula. History taking disclosed that seven months prior to referral he had experienced excruciating pain in the neck, irradiating to the right arm and thumb. The pain, which was particularly severe in the right scapular region, kept him initially awake and lasted for approximately six weeks. A week after the pain had started, he noticed having difficulty raising his right arm and hand. The latter is no longer present but at referral he still had a right-sided winged scapula and sensory disturbances of the radial part of the right medial forearm and of part of his thumb. Family history was negative for neuromuscular diseases.

Type
Chapter
Information
Neuromuscular Disease
A Case-Based Approach
, pp. 124 - 126
Publisher: Cambridge University Press
Print publication year: 2024

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References

Suggested Reading

IJspeert, J, Janssen, RMJ, van Alfen, N. Neuralgic amyotrophy. Curr Opin Neurol 2021;34(5):605612. doi: 10.1097/WCO.0000000000000968. PMID: 34054111.CrossRefGoogle ScholarPubMed
Janssen, RMJ, Lustenhouwer, R, Cup, EHC, et al. Effectiveness of an outpatient rehabilitation programme in patients with neuralgic amyotrophy and scapular dyskinesia: a randomised controlled trial. J Neurol Neurosurg Psychiatry 2023;94(6):474481. doi: 10.1136/jnnp-2022-330296. Epub 2023 Jan 25. PMID: 36697215.CrossRefGoogle ScholarPubMed
Klein, CJ, Barbara, DW, Sprung, J, Dyck, PJ, Weingarten, TN. Surgical and postpartum hereditary brachial plexus attacks and prophylactic immunotherapy. Muscle Nerve 2013;47(1):2327. doi: 10.1002/mus.23462. Epub 2012 Oct 5. PMID: 23042485; PMCID: PMC3528817.CrossRefGoogle ScholarPubMed
van Eijk, JJJ, Dalton, HR, Ripellino, P, et al. Clinical phenotype and outcome of hepatitis E virus-associated neuralgic amyotrophy. Neurology 2017;89(9):909917. doi: 10.1212/WNL.0000000000004297. Epub 2017 Aug 2. PMID: 28768846.CrossRefGoogle ScholarPubMed

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