[Neuralgic amyotrophy as the primary cause of shoulder pain in a patient with rotator cuff tear].

[neuralgic amyotrophy]

A 66 -year -old woman with no history of trauma presented with severe shoulder pain . Magnetic resonance imaging revealed rupture of the supraspinatus tendon , for which surgical treatment was considered . However , it was noted that shoulder pain was accompanied by weakness in the shoulder muscles , and the patient underwent electroneuromyographic examination , which revealed neuralgic amyotrophy . Following physical therapy and rehabilitation combined with appropriate medical therapy , her symptoms significantly improved . In cases with severe shoulder pain without a trauma history , characteristics of pain should be thoroughly analyzed and neuralgic amyotrophy considered in the differential diagnosis .