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MRI findings and steroid therapy for neuralgic amyotrophy in children.
[neuralgic amyotrophy]
Neuralgic
amyotrophy
is
not
uncommon
in
adults
but
is
relatively
rare
in
children
.
We
recently
encountered
2
cases
of
neuralgic
amyotrophy
in
children
.
Patient
1
was
a
7
-
year
-old
girl
who
developed
a
right
leg
paralysis
after
an
epileptic
seizure
.
Lumbar
plexus
T
(
2
)
-
weighted
magnetic
resonance
imaging
(
MRI
)
revealed
a
hyperintense
and
thickened
portion
extending
from
the
root
to
the
knee
region
of
the
right
sciatic
nerve
,
and
T
(
1
)
-
weighted
conventional
spin
echo
with
gadolinium
administration
revealed
enhancement
.
Patient
2
was
a
4
-
year
-old
boy
who
experienced
a
sudden
onset
of
severe
right
arm
pain
and
paralysis
.
T
(
2
)
-
weighted
MRI
with
a
short
tau
inversion
recovery
revealed
a
slightly
thickened
and
high
intensity
region
at
the
right
C
(
6
)
-
C
(
8
)
level
.
After
high
-dose
methylprednisolone
pulse
therapy
was
performed
in
each
case
,
patient
1
experienced
complete
recovery
,
whereas
patient
2
experienced
only
amelioration
of
pain
.
A
diagnosis
of
neuralgic
amyotrophy
in
children
was
facilitated
by
an
MRI
study
(
T
(
2
)
weighed
with
short
tau
inversion
recovery
and
T
(
1
)
weighted
with
gadolinium
enhancement
)
,
and
early
steroid
therapy
might
have
improved
the
condition
of
these
children
.
