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Long-term pain, fatigue, and impairment in neuralgic amyotrophy.
[neuralgic amyotrophy]
Recently
,
it
has
become
clear
that
neuralgic
amyotrophy
(
NA
;
idiopathic
and
hereditary
brachial
plexus
neuropathy
)
has
a
less
optimistic
prognosis
than
usually
assumed
.
To
optimize
treatment
and
management
of
these
patients
,
one
needs
to
know
the
residual
symptoms
and
impairments
they
suffer
.
Therefore
,
the
objective
of
this
study
was
to
describe
the
prevalence
of
pain
,
psychologic
symptoms
,
fatigue
,
functional
status
,
and
quality
of
life
in
patients
with
NA
.
Neurology
outpatient
department
of
an
academic
teaching
hospital
.
NA
patients
(
N
=
89
)
were
studied
,
and
clinical
details
were
recorded
.
Self-report
data
were
on
average
collected
2
years
after
the
onset
of
the
last
NA
episode
.
Pain
was
assessed
with
the
McGill
Pain
Questionnaire
,
fatigue
with
the
Checklist
Individual
Strength
,
and
psychologic
distress
with
the
Symptom
Checklist
90
.
Functional
status
and
handicap
were
assessed
with
the
modified
Rankin
Scale
and
Medical
Outcomes
Study
36
-
Item
Short
-
Form
Health
Survey
.
P
ain
was
usually
localized
in
the
right
shoulder
and
upper
arm
,
matching
the
clinical
predilection
site
for
paresis
in
NA
.
About
a
quarter
to
a
third
of
the
patients
reported
significant
long
-term
pain
and
fatigue
,
and
half
to
two
thirds
still
experienced
impairments
in
daily
life
.
Over
one
third
of
the
individual
patients
suffered
from
severe
fatigue
.
The
group
did
not
fulfill
the
criteria
of
chronic
fatigue
or
major
psychologic
distress
.
There
was
no
correlation
of
pain
or
fatigue
with
the
level
of
residual
paresis
on
a
Medical
Research
Council
scale
,
but
patients
with
a
comorbid
condition
fared
worse
than
patients
without
.
A
significant
number
of
NA
patients
suffer
from
persistent
pain
and
fatigue
,
leading
to
impairment
.
Symptoms
were
not
correlated
with
psychologic
distress
.
This
makes
it
likely
that
they
are
caused
by
residual
shoulder
or
arm
dysfunction
but
not
as
part
of
a
chronic
pain
or
fatigue
syndrome
in
these
patients
.
Diseases
Validation
Diseases presenting
"still experienced impairments in daily life"
symptom
neuralgic amyotrophy
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