Neuralgic Amyotrophy Presenting with Multifocal Myonecrosis and Rhabdomyolysis.
| Autor: | Goetsch MR; Medicine, Johns Hopkins Hospital, Baltimore, USA., Shen J; Internal Medicine, University of Alabama at Birmingham, Birmingham, USA., Jones JA; Pathology, University of Alabama at Birmingham, Birmingham, USA., Memon A; Neurology, University of Alabama at Birmingham, Birmingham, USA., Chatham W; Medicine, University of Alabama at Birmingham, Birmingham, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Mar 23; Vol. 12 (3), pp. e7382. Date of Electronic Publication: 2020 Mar 23. |
| DOI: | 10.7759/cureus.7382 |
| Abstrakt: | 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. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Goetsch et al.) |
| Databáze: | MEDLINE |
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