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. 1997 Jan;14(1):41–43. doi: 10.1136/emj.14.1.41

Neuralgic amyotrophy presenting to an accident and emergency department.

M J Darby 1, A R Wass 1, D I Fodden 1
PMCID: PMC1342845  PMID: 9023624

Abstract

Two patients with neuralgic amyotrophy (Parsonage-Turner syndrome) are described. Problems arising from the shoulder girdle commonly present to accident and emergency (A&E) departments. Neuralgic amyotrophy is an infrequent neuromuscular disorder which predominantly affects the shoulder girdle. Characterised by severe pain followed by muscle weakness, atrophy, and variable sensory deficits, the diagnosis is based on history and physical findings and is confirmed by electromyography. The prognosis is excellent and treatment is supportive using analgesia and physiotherapy.

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Selected References

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  1. Aymond J. K., Goldner J. L., Hardaker W. T., Jr Neuralgic amyotrophy. Orthop Rev. 1989 Dec;18(12):1275–1279. [PubMed] [Google Scholar]
  2. BARDOS V., SOMODSKA V. Epidemiologic study of a brachial plexus neuritis outbreak in northeast Czechoslovakia. World Neurol. 1961 Nov;2:973–979. [PubMed] [Google Scholar]
  3. Cumming W. J., Thrush D. C., Kenward D. H. Bilateral neuralgic amyotrophy complicating Weil's disease. Postgrad Med J. 1978 Oct;54(636):680–681. doi: 10.1136/pgmj.54.636.680. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Devathasan G., Tong H. I. Neuralgic amyotrophy: criteria for diagnosis and a clinical with electromyographic study of 21 cases. Aust N Z J Med. 1980 Apr;10(2):188–191. doi: 10.1111/j.1445-5994.1980.tb03711.x. [DOI] [PubMed] [Google Scholar]
  5. Ferrini L., Della Torre P., Perticoni G., Cantisani T. A. Neuralgic amyotrophy of the shoulder girdle. The Parsonage-Turner syndrome. Ital J Orthop Traumatol. 1986 Jun;12(2):223–231. [PubMed] [Google Scholar]
  6. Malow B. A., Dawson D. M. Neuralgic amyotrophy in association with radiation therapy for Hodgkin's disease. Neurology. 1991 Mar;41(3):440–441. doi: 10.1212/wnl.41.3.440. [DOI] [PubMed] [Google Scholar]
  7. Mulvey D. A., Aquilina R. J., Elliott M. W., Moxham J., Green M. Diaphragmatic dysfunction in neuralgic amyotrophy: an electrophysiologic evaluation of 16 patients presenting with dyspnea. Am Rev Respir Dis. 1993 Jan;147(1):66–71. doi: 10.1164/ajrccm/147.1.66. [DOI] [PubMed] [Google Scholar]
  8. Pierre P. A., Laterre C. E., Van den Bergh P. Y. Neuralgic amyotrophy with involvement of cranial nerves IX, X, XI and XII. Muscle Nerve. 1990 Aug;13(8):704–707. doi: 10.1002/mus.880130807. [DOI] [PubMed] [Google Scholar]
  9. Refisch A., van Laack W. Neuralgic amyotrophy of the lumbar area. Case report. Arch Orthop Trauma Surg. 1989;108(5):329–332. doi: 10.1007/BF00932327. [DOI] [PubMed] [Google Scholar]
  10. Reutens D. C., Dunne J. W., Leather H. Neuralgic amyotrophy following recombinant DNA hepatitis B vaccination. Muscle Nerve. 1990 May;13(5):461–461. [PubMed] [Google Scholar]
  11. Sierra A., Prat J., Bas J., Romeu A., Montero J., Matos J. A., Bella R., Ferrer I., Buendia E. Blood lymphocytes are sensitized to branchial plexus nerves in patients with neuralgic amyotrophy. Acta Neurol Scand. 1991 Mar;83(3):183–186. doi: 10.1111/j.1600-0404.1991.tb04674.x. [DOI] [PubMed] [Google Scholar]
  12. Tonali P., Uncini A., Di Pasqua P. G. So-called neuralgic amyotrophy: clinical features and long term follow-up. Ital J Neurol Sci. 1983 Dec;4(4):431–437. doi: 10.1007/BF02125623. [DOI] [PubMed] [Google Scholar]

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