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Idiopathic neuralgic amyotrophy: an illustrative case report.
[neuralgic amyotrophy]
To
describe
the
case
of
a
patient
diagnosed
with
neuralgic
amyotrophy
(
NA
)
illustrating
pertinent
aspects
of
differential
diagnosis
,
the
use
of
clinical
neurophysiological
procedures
to
aid
in
establishing
the
diagnosis
,
and
issues
of
management
.
A
39
-
year
-old
male
soldier
presented
with
a
rapid
onset
of
marked
loss
of
left
shoulder
movement
.
This
started
acutely
early
one
morning
as
a
sharp
,
severe
lower
neck
pain
progressing
over
the
following
2
weeks
to
a
less
severe
dull
ache
in
the
left
shoulder
and
arm
.
Pain
was
rapidly
replaced
with
weakness
.
Physical
examination
and
electrodiagnostic
investigation
helped
establish
a
diagnosis
of
NA
.
T
he
patient
was
reassured
that
this
is
normally
a
self-limiting
condition
.
Range
of
motion
exercises
progressing
to
a
strengthening
program
was
prescribed
.
He
was
progressing
well
;
however
,
we
lost
contact
because
of
his
commitments
in
the
armed
service
.
When
a
patient
presents
with
shoulder
and
arm
pain
of
neurogenic
origin
,
NA
should
be
a
consideration
.
Differentiating
NA
from
radiculopathy
is
especially
important
in
making
management
decisions
.
With
a
careful
history
and
physical
examination
,
the
diagnosis
may
be
made
without
the
need
for
ancillary
investigations
.
Neuralgic
amyotrophy
is
a
self-limiting
condition
requiring
reassurance
and
monitoring
.
Diseases
Validation
Diseases presenting
"marked loss"
symptom
neuralgic amyotrophy
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