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[Lumbar radiculopathy presenting neuralgic amyotrophy with gadolinium-enhanced MRI lesions: a case report].
[neuralgic amyotrophy]
A
40
-
year
-old
man
presented
with
sudden
onset
of
severe
left
buttock
pain
that
radiated
down
the
thigh
to
the
leg
.
On
examination
,
he
showed
moderate
weakness
and
atrophy
in
the
left
quadriceps
and
tibialis
anterior
muscles
,
and
absence
of
a
left
patellar
tendon
reflex
.
Needle
electromyography
revealed
an
active
denervation
pattern
in
the
left
quadriceps
muscles
,
suggesting
neuralgic
amyotrophy
.
Contrast-enhanced
MRI
showed
abnormal
enhancement
of
the
left
cauda
equina
.
Steroid
pulse
therapy
relieved
pain
,
and
subsequent
high
-dose
intravenous
immunoglobulin
prevented
progression
of
muscle
atrophy
and
weakness
.
Neuralgic
amyotrophy
is
characterized
by
attacks
of
severe
neuropathic
pain
and
subsequent
patchy
paresis
in
the
upper
or
lower
extremities
.
Since
overall
recovery
is
less
favourable
than
usually
assumed
,
early
diagnosis
is
very
important
.
This
case
was
remarkable
in
that
contrast-enhanced
MRI
revealed
abnormal
enhancement
and
thickening
of
the
cauda
equina
,
which
may
help
in
achieving
early
diagnosis
and
treatment
.
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