Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033.
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH.
PM R. 2018 Jul;10(7):770-774. doi: 10.1016/j.pmrj.2017.11.018. Epub 2017 Dec 20.
Neuralgic amyotrophy (NA) is a neurologic syndrome of unknown etiology primarily affecting the brachial plexus. We are reporting an unusual case of acute bilateral NA that was possibly secondary to Lyme disease. The patient demonstrated significant functional gains and was discharged home after 2 weeks of inpatient rehabilitation, supporting the role of inpatient rehabilitation in acute NA. In this report, we discuss the diagnosis, electrodiagnostic progression, pain management, goals for inpatient rehabilitation, and overall prognosis of NA.
V.
摘要：神经痛性肌萎缩（NA）是一种病因不明的神经系统综合征，主要影响臂丛。我们报告了一例可能由莱姆病引起的急性双侧 NA 的不寻常病例。该患者在接受 2 周的住院康复治疗后，功能显著改善并出院回家，这支持了住院康复治疗在急性 NA 中的作用。在本报告中，我们讨论了 NA 的诊断、电诊断进展、疼痛管理、住院康复目标和总体预后。
证据等级：V。
