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MRI findings and steroid therapy for neuralgic amyotrophy in children.
[neuralgic amyotrophy]
Neuralgic
amyotrophy
is
not
uncommon
in
adults
but
is
relatively
rare
in
children
.
We
recently
encountered
2
cases
of
neuralgic
amyotrophy
in
children
.
Patient
1
was
a
7
-
year
-old
girl
who
developed
a
right
leg
paralysis
after
an
epileptic
seizure
.
Lumbar
plexus
T
(
2
)
-
weighted
magnetic
resonance
imaging
(
MRI
)
revealed
a
hyperintense
and
thickened
portion
extending
from
the
root
to
the
knee
region
of
the
right
sciatic
nerve
,
and
T
(
1
)
-
weighted
conventional
spin
echo
with
gadolinium
administration
revealed
enhancement
.
Patient
2
was
a
4
-
year
-old
boy
who
experienced
a
sudden
onset
of
severe
right
arm
pain
and
paralysis
.
T
(
2
)
-
weighted
MRI
with
a
short
tau
inversion
recovery
revealed
a
slightly
thickened
and
high
intensity
region
at
the
right
C
(
6
)
-
C
(
8
)
level
.
After
high
-dose
methylprednisolone
pulse
therapy
was
performed
in
each
case
,
patient
1
experienced
complete
recovery
,
whereas
patient
2
experienced
only
amelioration
of
pain
.
A
diagnosis
of
neuralgic
amyotrophy
in
children
was
facilitated
by
an
MRI
study
(
T
(
2
)
weighed
with
short
tau
inversion
recovery
and
T
(
1
)
weighted
with
gadolinium
enhancement
)
,
and
early
steroid
therapy
might
have
improved
the
condition
of
these
children
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated
