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[An unusual cause of acute dyspnoea: neuralgic amyotrophy].
[neuralgic amyotrophy]
A
40
-
year
-old
man
presented
at
the
neurology
outpatient
clinic
with
sudden
severe
pain
in
both
shoulders
,
followed
by
paresis
of
the
muscles
in
this
region
.
These
complaints
,
in
combination
with
acute
dyspnoea
when
lying
flat
,
and
paradoxal
movements
of
the
abdomen
during
respiration
,
led
to
the
diagnosis
of
neuralgic
amyotrophy
with
phrenic
nerve
involvement
.
A
43
-
year
-old
man
was
seen
on
the
pulmonary
unit
with
severe
pain
in
the
shoulder
area
,
followed
by
acute
severe
dyspnoea
,
worsening
when
he
lay
flat
.
Lung
function
analysis
showed
severe
restriction
and
decreased
maximal
inspiratory
mouth
pressure
.
Taking
into
account
the
pain
in
the
shoulder
in
combination
with
decreased
inspiratory
mouth
pressure
suggestive
of
diaphragmatic
paresis
,
isolated
neuralgic
amyotrophy
with
phrenic
nerve
involvement
was
diagnosed
.
As
these
cases
demonstrate
,
the
diagnosis
'
neuralgic
amyotrophy
with
phrenic
nerve
involvement
'
often
can
be
determined
by
history
taking
and
physical
examination
.
Unfamiliarity
with
this
condition
may
lead
to
severe
delay
in
the
diagnostic
process
and
to
unnecessary
investigations
,
especially
when
no
accompanying
paresis
of
the
shoulder
girdle
and
arm
musculature
is
present
.
Diseases
Validation
Diseases presenting
"isolated neuralgic amyotrophy with phrenic nerve involvement was diagnosed"
symptom
neuralgic amyotrophy
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