Bilateral neuralgic amyotrophy presenting with left vocal cord and phrenic nerve paralysis.

[neuralgic amyotrophy]

This article reports the difference between neuralgic amyotrophy and neuropathy caused by chemotherapy and radiation treatment which manifested with severe shoulder pain followed by marked weakness of bilateral upper arms and involvement of cranial nerves . A 62 -year -old man presented with acute severe neuropathic pain at the left shoulder , bilateral shoulder weakness , hoarseness of voice from vocal cord palsy , and respiratory insufficiency from left diaphragm palsy , which all occurred sequentially over a 1 -month period . The diagnosis of neuralgic amyotrophy was supported and differentiated from tumor -induced and radiation-induced neuropathy by clinical presentation , electrophysiologic and imaging studies . Unlike previous reports of the onset of neuralgic amyotrophy being associated with initiation of radiation treatment in cancer patients , this report demonstrates that neuralgic amyotrophy can occur at any point of the malignant disease process after radiation and chemotherapy .

Diseases
Validation

Diseases presenting "neuropathy" symptom

adrenomyeloneuropathy

dystrophic epidermolysis bullosa

epidermolysis bullosa simplex

erdheim-chester disease

erythropoietic protoporphyria

fabry disease

focal myositis

gm1 gangliosidosis

hirschsprung disease

homocystinuria without methylmalonic aciduria

inclusion body myositis

krabbe disease

malignant atrophic papulosis

megacystis-microcolon-intestinal hypoperistalsis syndrome

neuralgic amyotrophy

oculocutaneous albinism

pendred syndrome

phenylketonuria

pyomyositis

pyruvate dehydrogenase deficiency

sneddon syndrome

thoracic outlet syndrome

triple a syndrome

von hippel-lindau disease

waldenström macroglobulinemia

wolf-hirschhorn syndrome

This symptom has already been validated