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Neuroradiologic and neurophysiologic findings of neuralgic amyotrophy.
[neuralgic amyotrophy]
Neuralgic
amyotrophy
(
NA
)
is
a
distinct
clinical
syndrome
that
is
characterized
by
the
acute
onset
of
shoulder
and
arm
pain
,
weakness
,
and
sensory
loss
.
The
purpose
of
this
study
was
to
assess
the
clinical
characteristics
of
NA
and
to
determine
appropriate
diagnostic
modalities
.
We
reviewed
the
medical
and
radiologic
records
of
10
patients
diagnosed
with
NA
retrospectively
.
Neurophysiologic
studies
were
performed
in
all
patients
and
magnetic
resonance
neurography
was
performed
in
the
last
three
patients
.
A
total
of
10
patients
were
enrolled
in
our
study
.
All
patients
had
clinical
findings
compatible
with
NA
.
The
most
common
clinical
presentation
was
severe
shoulder
pain
and
weakness
in
seven
patients
(
70
%
)
.
Neurophysiologic
study
results
were
abnormal
in
all
patients
.
Brachial
plexus
magnetic
resonance
neurography
showed
that
the
affected
brachial
plexus
showed
a
thickened
and
hyper-intense
trunk
.
All
patients
were
managed
conservatively
with
analgesics
and
physical
therapy
.
The
pain
and
paralysis
of
all
patients
improved
clinically
within
6
months
of
the
initiation
of
treatment
.
NA
is
a
rare
disease
but
the
symptoms
of
NA
can
mimic
those
of
other
diseases
.
Neurophysiologic
studies
and
magnetic
resonance
neurography
are
extremely
useful
tools
for
the
diagnosis
of
NA
.
Diseases
Validation
Diseases presenting
"paralysis of all patients improved clinically within 6 months of the initiation of treatment"
symptom
neuralgic amyotrophy
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