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Acute brachial plexus neuropathy with involvement of cranial nerves IX, X, XI and XII.
[neuralgic amyotrophy]
Acute
brachial
plexus
neuropathy
is
characterized
by
acute
onset
of
shoulder
girdle
and
arm
pain
,
followed
by
weakness
of
the
shoulder
and
arm
muscles
.
It
affects
primarily
nerves
of
the
upper
trunk
of
the
brachial
plexus
and
the
long
thoracic
nerve
.
Cranial
nerve
involvement
is
an
infrequent
association
and
implies
a
diagnostic
challenge
.
We
report
a
unique
case
of
acute
brachial
plexus
neuropathy
with
involvement
of
the
cranial
nerves
IX
,
X
,
XI
and
XII
.
F
ifty
six
year
-old
woman
who
developed
acute
dysphonia
,
dysphagia
and
left
shoulder
pain
,
followed
,
six
days
later
,
by
left
arm
weakness
.
Needle
examination
showed
only
fibrillation
potentials
and
positive
sharp
waves
in
the
left
deltoid
muscle
.
MRI
of
the
brachial
plexus
shows
enlargement
of
the
trunks
,
cords
and
terminal
branches
,
with
mild
gadolinium
enhancement
.
This
case
illustrates
the
unique
presentation
of
neuralgic
amyotrophy
with
involvement
of
nerves
outside
the
brachial
plexus
,
and
the
importance
of
MRI
for
diagnosis
,
in
the
absence
of
electrophysiologic
involvement
.
Diseases
Validation
Diseases presenting
"weakness"
symptom
achondroplasia
adrenomyeloneuropathy
alexander disease
aniridia
aromatase deficiency
coats disease
congenital toxoplasmosis
epidermolysis bullosa simplex
esophageal adenocarcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
focal myositis
gm1 gangliosidosis
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
pendred syndrome
pleomorphic liposarcoma
pyomyositis
pyruvate dehydrogenase deficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
werner syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated