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[A case of neuralgic amyotrophy with antiganglioside antibody].
[neuralgic amyotrophy]
A
54
-
year
-old-man
experienced
pain
from
his
left
shoulder
to
his
left
arm
and
had
difficulty
in
lifting
his
arm
after
a
febrile
episode
.
Three
weeks
after
the
onset
,
he
was
admitted
to
our
hospital
.
Neurological
examination
demonstrated
weakness
and
atrophy
of
the
left
deltoid
muscle
.
Deep
tendon
reflexes
were
normal
and
no
pathological
reflexes
were
elicited
.
CSF
total
protein
was
slightly
increased
.
The
occurrence
rate
of
F-
waves
was
decreased
in
the
left
upper
limb
.
Magnetic
resonance
imaging
(
MRI
)
study
of
the
cervical
cord
and
brachial
plexus
with
and
without
Gadolinium
infusion
showed
no
abnormalities
.
Serological
study
showed
that
IgM
anticytomegalovirus
antibody
was
positive
,
and
that
serum
IgM
anti-
GalNAc-GD
1
a
antibody
and
IgM
anti-
GM
2
antibody
were
positive
.
Symptoms
were
improved
after
treatment
with
mecobalamin
,
1
.
5
mg
/
day
.
This
case
was
considered
neuralgic
amyotrophy
after
cytomegalovirus
infection
.
The
antiganglioside
antibodies
may
play
some
role
in
its
pathogenesis
.
Diseases
Validation
Diseases presenting
"had difficulty in lifting his arm after a febrile episode"
symptom
neuralgic amyotrophy
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