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http://dx.doi.org/10.3344/kjp.2009.22.2.171

Neuralgic Amyotrophy Considered as Cervical Radiculopathy -A case report-  

Park, Chan Do (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
Kim, Joon Woo (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
Choi, Jong Beom (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
Lee, Min Jung (Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine)
Moon, Jee Youn (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
Lee, Pyung Bok (Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital)
Publication Information
The Korean Journal of Pain / v.22, no.2, 2009 , pp. 171-175 More about this Journal
Abstract
Neuralgic amyotrophy is a syndrome with a broad range of clinical manifestations. It is characterized by acute, severe pain in the shoulder or arm lasting several days or weeks, followed by muscle weakness and atrophy as the pain diminishes. The diagnosis is based on typical clinical features, electromyography (EMG) and a nerve conduction study. The early and correct diagnosis is important to preclude unnecessary testing or surgical procedures. A 59-year-old female patient presented with pain and weakness involving her right palm and 1 3rd fingers. Three weeks before presentation, she noted the sudden onset of severe right shoulder and forearm pain. After the pain was reduced, she noted persistent right palm and 1-3rd finger pain and weakness. On cervical MRI, there was a mild central disc protrusion at C4 5 and C5 6. Electrodiagnostic testing was performed and she was diagnosed with neuralgic amyotrophy. One week after hospital treatment, her pain was relieved from VAS 10 to 3 and she was discharged with mild weakness of the thumb and index finger during pinch grips.
Keywords
cervical radiculopathy; neuralgic amyotrophy;
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Times Cited By KSCI : 2  (Citation Analysis)
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