Notalgia paresthetica following neuralgic amyotrophy: a case report.

[neuralgic amyotrophy]

We report the case of a patient who developed notalgia paresthetica during the recovery from a neuralgic amyotrophy . A 23 -year -old woman had a typical neuralgic amyotrophy (severe shoulder pain , followed by a long thoracic nerve palsy ); five months after the onset of pain , when scapular winging was improving , she began to feel a burning sensation in a restricted interscapular area , on the same side . Electromyography was consistent with a long thoracic nerve neuropathy , with minor neurogenic changes in deltoid and biceps brachii . Radiography of the spine was unremarkable . The notalgia paresthetica disappeared shortly before the complete recovery of scapular winging . The abnormal activation of shoulder girdle and spine extensor muscles during the time of long thoracic nerve palsy may explain the association between the two disorders .