Neuralgic Amyotrophy Presenting with Multifocal Myonecrosis and Rhabdomyolysis.
brachial neuritis
brachial plexitis
brachial plexopathy
myonecrosis
neuralgic amyotrophy
neuropathy
parsonage turner syndrome
rhabdomyolysis
shoulder girdle
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
23 Mar 2020
23 Mar 2020
Historique:
entrez:
28
4
2020
pubmed:
28
4
2020
medline:
28
4
2020
Statut:
epublish
Résumé
Neuralgic amyotrophy (NA), also known as Parsonage-Turner syndrome, is an idiopathic disorder characterized by rapid-onset unilateral upper extremity pain, paralysis, and sensory disturbance in the distribution of the brachial plexus. The etiology is unknown, and there is a multitude of alternative clinical presentations as well as secondary triggers, which make the diagnosis challenging. To date, there has been no report of NA presenting with frank myonecrosis. In this report, we document the first case of NA presenting with multifocal myonecrosis of the shoulder girdle muscles and rhabdomyolysis. This case posed a unique challenge in the diagnostic workup and management as many causes of myonecrosis present similarly to NA, and NA is a diagnosis of exclusion. Our patient underwent exhaustive testing and several trials of therapy before diagnosis could be made. Such evaluations are expensive and carry risks for patients. As such, it is important that physicians recognize this unique presentation of NA.
Identifiants
pubmed: 32337110
doi: 10.7759/cureus.7382
pmc: PMC7179979
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e7382Informations de copyright
Copyright © 2020, Goetsch et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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