Yang Jin Seo, Cho Yong Jun, Kang Suk Hyung, Choi Eun Hi
Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea.
Department of Rehabilitation Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea.
J Korean Neurosurg Soc. 2015 Nov;58(5):491-3. doi: 10.3340/jkns.2015.58.5.491. Epub 2015 Nov 30.
The upper trunk of the brachial plexus is the most common area affected by neuralgic amyotrophy (NA), and paresis of the shoulder girdle muscle is the most prevalent manifestation. Posterior interosseous nerve palsy is a rare presentation in patients with NA. It results in dropped finger on the affected side and may be misdiagnosed as entrapment syndrome or compressive neuropathy. We report an unusual case of NA manifested as PIN palsy and suggest that knowledge of clinical NA phenotypes is crucial for early diagnosis of peripheral nerve palsies.
臂丛神经上干是神经痛性肌萎缩(NA)最常累及的部位,肩胛带肌麻痹是最常见的表现。骨间后神经麻痹在NA患者中是一种罕见的表现形式。它会导致患侧手指下垂,可能被误诊为卡压综合征或压迫性神经病变。我们报告了一例表现为骨间后神经麻痹的不寻常NA病例,并指出了解NA的临床表型对于早期诊断周围神经麻痹至关重要。