Magnetic Resonance Neurographic Findings in Classic Idiopathic Neuralgic Amyotrophy in Subacute Stage: A Report of Four Cases
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초록
Neuralgic amyotrophy (NA) is characterized by acute onset of severe pain, followed by muscular weakness and wasting of the shoulder girdle. While the diagnosis of NA mainly relies on the clinical history and examination, some investigations including electrophysiologic study and radiologic study may help to confirm the diagnosis. Magnetic resonance neurography (MRN), a new technique for the evaluation of peripheral nerve disorders, can be helpful in the diagnosis of NA. MRN presents additional benefits in comparison to conventional magnetic resonance imaging in the diagnosis of idiopathic NA (INA). In this report, we present the first four cases of classic INA diagnosed with MRN in subacute stage. MRN imaging modality should be considered in patients clinically suspected of INA.
Abstract
Neuralgic amyotrophy (NA) is characterized by acute onset of severe pain, followed by muscular weakness and wasting of the shoulder girdle. While the diagnosis of NA mainly relies on the clinical history and examination, some investigations including electrophysiologic study and radiologic study may help to confirm the diagnosis. Magnetic resonance neurography (MRN), a new technique for the evaluation of peripheral nerve disorders, can be helpful in the diagnosis of NA. MRN presents additional benefits in comparison to conventional magnetic resonance imaging in the diagnosis of idiopathic NA (INA). In this report, we present the first four cases of classic INA diagnosed with MRN in subacute stage. MRN imaging modality should be considered in patients clinically suspected of INA.
참고문헌 (10)
- van Alfen N, "Longterm pain, fatigue, and impairment in neuralgic amyotrophy", Arch Phys Med Rehabil, 90, pp.435~439 (2009)
- Chance PF, "Inherited focal, episodic neuropathies:hereditary neuropathy with liability to pressure palsies and hereditary neuralgic amyotrophy", Neuromolecular Med, 8, pp.159~174 (2006)
- van Alfen N, "The clinical spectrum of neuralgic amyotrophy in 246 cases", Brain, 129(Pt 2), pp.438~450 (2006)
- Duman I, "Neuralgic amyotrophy, diagnosed with magnetic resonance neurography in acute stage: a case report and review of the literature", Neurologist, 13, pp.219~221 (2007)
- Sarikaya S, "Magnetic resonance neurography diagnosed brachial plexitis: a case report", Arch Phys Med Rehabil, 86, pp.1058~1059 (2005)
- van Alfen N, "Clinical and pathophysiological concepts of neuralgic amyotrophy", Nat Rev Neurol, 7, pp.315~322 (2011)
- Miller JD, "Acute brachial plexus neuritis: an uncommon cause of shoulder pain", Am Fam Physician, 62, pp.2067~2072 (2000)
- Du R, "Magnetic resonance neurography for the evaluation of peripheral nerve, brachial plexus, and nerve root disorders", J Neurosurg, 112, pp.362~371 (2010)
- van Alfen N, "Sensory nerve conduction studies in neuralgic amyotrophy", Am J Phys Med Rehabil, 88, pp.941~946 (2009)
- Dill-Macky MJ, "Magnetic resonance imaging features of subacute idiopathic brachial neuritis", Australas Radiol, 44, pp.98~100 (2000)