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Review Case Reports
Neuralgic amyotrophy, diagnosed with magnetic resonance neurography in acute stage: a case report and review of the literature.
- Iltekin Duman, Inanc Guvenc, and Tunc Alp Kalyon.
- Department of Physical Medicine and Rehabilitation, Gulhane Military Medical Academy, Ankara, Turkey. iltekinduman@yahoo.com
- Neurologist. 2007 Jul 1; 13 (4): 219-21.
ObjectiveWe present a case of neuralgic amyotrophy (NA) diagnosed with magnetic resonance neurography (MRN) in the acute stage.MethodsNA is an uncommon neurologic syndrome that affects mainly the brachial plexus. MRN is considered to be more sensitive than magnetic resonance imaging (MRI) for peripheral nervous system disorders. A case of acute NA with the sudden onset of shoulder pain and weakness in the shoulder girdle is presented.ResultsElectrodiagnostic testing revealed an upper trunk lesion. Plexitis that could not be demonstrated with conventional MRI was revealed with MRN. The left brachial plexus was thickened and hyperintense with MRN, consistent with plexitis.ConclusionsMRN should be the preferred imaging modality for the diagnosis of acute NA. This might not only help early diagnosis and guide treatment but also prevent unnecessary testing.
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