An atypical and severe case of neuralgic amyotrophy
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25759/spmfr.244 |
Resumo: | Neuralgic Amyotrophy (NA) is an uncommon disorder, of unknown etiology, typically characterized by abrupt onset of shoulder and upper extremity pain followed by progressive neurologic deficits. An immune/autoimmune process seems to have more support in development of NA. NA is a clinical diagnosis, however, further diagnostic studies can confirm clinical suspicion and help exclude other causes. The treatment consists predominantly in pain control and rehabilitation. Patients with NA, can be evaluated by a wide range of clinical specialists in the early stage of disease before a correct diagnosis be made. This is a result of different phenotypes that this disorder exhibits, that complicate the diagnosis. It is important for clinicians to beware of the classic clinical manifestations that usually follow a characteristic clinical course of abrupt onset of shoulder girdle pain followed by progressive neurologic deficits as muscle weakness, amyotrophy and sensory abnormalities. We report the case of a 32-year-old man who had a severe bilateral and atypical shoulder involvement, that made the most probably diagnostic not so evident. |
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An atypical and severe case of neuralgic amyotrophyNeuralgic Amyotrophy; Parsonage-Turner Syndrome; Shoulder Pain; Brachial PlexusNeuralgic Amyotrophy (NA) is an uncommon disorder, of unknown etiology, typically characterized by abrupt onset of shoulder and upper extremity pain followed by progressive neurologic deficits. An immune/autoimmune process seems to have more support in development of NA. NA is a clinical diagnosis, however, further diagnostic studies can confirm clinical suspicion and help exclude other causes. The treatment consists predominantly in pain control and rehabilitation. Patients with NA, can be evaluated by a wide range of clinical specialists in the early stage of disease before a correct diagnosis be made. This is a result of different phenotypes that this disorder exhibits, that complicate the diagnosis. It is important for clinicians to beware of the classic clinical manifestations that usually follow a characteristic clinical course of abrupt onset of shoulder girdle pain followed by progressive neurologic deficits as muscle weakness, amyotrophy and sensory abnormalities. We report the case of a 32-year-old man who had a severe bilateral and atypical shoulder involvement, that made the most probably diagnostic not so evident.Sociedade Portuguesa de Medicina Física e de Reabilitação2017-06-29T00:00:00Zjournal articlejournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.25759/spmfr.244oai:ojs.spmfrjournal.org:article/244Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 29, n. 2 (2017): Ano 250872-9204reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://spmfrjournal.org/index.php/spmfr/article/view/244https://doi.org/10.25759/spmfr.244Copyright (c) 2019 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitaçãohttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessCadilha, RuiAmorim, Hugo; Department of Physical and Rehabilitation Medicine, Centro Hospitalar São João, OportoPinto, Madalena; Department of Neurology, Centro Hospitalar de São João, OportoSilveira, Fernando; Department of Neurophysiology, Centro Hospitalar de São João,OportoParada, Fernando; Department of Physical and Rehabilitation Medicine, Centro Hospitalar São João, Oporto2022-09-20T15:28:50Zoai:ojs.spmfrjournal.org:article/244Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:51:24.286917Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
An atypical and severe case of neuralgic amyotrophy |
title |
An atypical and severe case of neuralgic amyotrophy |
spellingShingle |
An atypical and severe case of neuralgic amyotrophy Cadilha, Rui Neuralgic Amyotrophy; Parsonage-Turner Syndrome; Shoulder Pain; Brachial Plexus |
title_short |
An atypical and severe case of neuralgic amyotrophy |
title_full |
An atypical and severe case of neuralgic amyotrophy |
title_fullStr |
An atypical and severe case of neuralgic amyotrophy |
title_full_unstemmed |
An atypical and severe case of neuralgic amyotrophy |
title_sort |
An atypical and severe case of neuralgic amyotrophy |
author |
Cadilha, Rui |
author_facet |
Cadilha, Rui Amorim, Hugo; Department of Physical and Rehabilitation Medicine, Centro Hospitalar São João, Oporto Pinto, Madalena; Department of Neurology, Centro Hospitalar de São João, Oporto Silveira, Fernando; Department of Neurophysiology, Centro Hospitalar de São João,Oporto Parada, Fernando; Department of Physical and Rehabilitation Medicine, Centro Hospitalar São João, Oporto |
author_role |
author |
author2 |
Amorim, Hugo; Department of Physical and Rehabilitation Medicine, Centro Hospitalar São João, Oporto Pinto, Madalena; Department of Neurology, Centro Hospitalar de São João, Oporto Silveira, Fernando; Department of Neurophysiology, Centro Hospitalar de São João,Oporto Parada, Fernando; Department of Physical and Rehabilitation Medicine, Centro Hospitalar São João, Oporto |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Cadilha, Rui Amorim, Hugo; Department of Physical and Rehabilitation Medicine, Centro Hospitalar São João, Oporto Pinto, Madalena; Department of Neurology, Centro Hospitalar de São João, Oporto Silveira, Fernando; Department of Neurophysiology, Centro Hospitalar de São João,Oporto Parada, Fernando; Department of Physical and Rehabilitation Medicine, Centro Hospitalar São João, Oporto |
dc.subject.por.fl_str_mv |
Neuralgic Amyotrophy; Parsonage-Turner Syndrome; Shoulder Pain; Brachial Plexus |
topic |
Neuralgic Amyotrophy; Parsonage-Turner Syndrome; Shoulder Pain; Brachial Plexus |
description |
Neuralgic Amyotrophy (NA) is an uncommon disorder, of unknown etiology, typically characterized by abrupt onset of shoulder and upper extremity pain followed by progressive neurologic deficits. An immune/autoimmune process seems to have more support in development of NA. NA is a clinical diagnosis, however, further diagnostic studies can confirm clinical suspicion and help exclude other causes. The treatment consists predominantly in pain control and rehabilitation. Patients with NA, can be evaluated by a wide range of clinical specialists in the early stage of disease before a correct diagnosis be made. This is a result of different phenotypes that this disorder exhibits, that complicate the diagnosis. It is important for clinicians to beware of the classic clinical manifestations that usually follow a characteristic clinical course of abrupt onset of shoulder girdle pain followed by progressive neurologic deficits as muscle weakness, amyotrophy and sensory abnormalities. We report the case of a 32-year-old man who had a severe bilateral and atypical shoulder involvement, that made the most probably diagnostic not so evident. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-29T00:00:00Z |
dc.type.driver.fl_str_mv |
journal article journal article info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25759/spmfr.244 oai:ojs.spmfrjournal.org:article/244 |
url |
https://doi.org/10.25759/spmfr.244 |
identifier_str_mv |
oai:ojs.spmfrjournal.org:article/244 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://spmfrjournal.org/index.php/spmfr/article/view/244 https://doi.org/10.25759/spmfr.244 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Física e de Reabilitação |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Física e de Reabilitação |
dc.source.none.fl_str_mv |
Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 29, n. 2 (2017): Ano 25 0872-9204 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130377440198656 |