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[A case of neuralgic amyotrophy in the lower extremity (lumbosacral radiculoplexus neuropathy)].
[neuralgic amyotrophy]
We
report
a
76
-
year
-old
man
who
suddenly
had
pain
in
the
right
buttock
that
radiated
down
the
back
of
the
leg
.
He
underwent
nerve
block
therapy
,
but
subsequently
noted
weakness
of
the
right
leg
.
On
examination
,
there
was
moderate
weakness
of
the
right
gastrocnemius
,
flexor
digitorum
longus
and
extensor
hallcis
longus
,
and
mild
weakness
of
the
tibialis
anterior
,
quadriceps
and
hamstrings
muscles
.
The
right
Achilles
tendon
reflex
was
absent
.
There
was
a
slight
diminution
of
touch
sensation
over
the
right
L
5
-
S
1
area
.
A
nerve
conduction
study
revealed
reduced
motor
and
sensory
action
potentials
in
the
right
leg
.
An
electromyography
showed
evidence
of
denervation
in
the
right
gastrocnemius
and
tibialis
anterior
muscles
.
Treatment
with
corticosteroids
was
effective
for
alleviating
his
pain
,
and
muscle
strength
improved
gradually
.
One
year
later
,
he
showed
no
neurological
deficits
.
Neuralgic
amyotrophy
in
the
lower
extremities
is
rare
,
but
awareness
of
this
disorder
helps
us
avoid
unnecessary
surgical
investigations
and
leads
to
possible
treatment
with
immunomodulative
therapy
.
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