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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
"weakness"
symptom
achondroplasia
adrenomyeloneuropathy
alexander disease
aniridia
aromatase deficiency
coats disease
congenital toxoplasmosis
epidermolysis bullosa simplex
esophageal adenocarcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
focal myositis
gm1 gangliosidosis
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
pendred syndrome
pleomorphic liposarcoma
pyomyositis
pyruvate dehydrogenase deficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
werner syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated