Gaudio Agostino, Murabito Andrea Ruben, Xourafa Anastasia, Patanè Federica, Rapisarda Rosario, Bagnato Sergio, Castellino Pietro
Department of Clinical and Experimental Medicine, University of Catania, Italy.
Neurophysiology Unit, Department of Rehabilitation, Giuseppe Giglio Foundation, Cefalù, Italy.
Respir Med Case Rep. 2019 Jul 22;28:100913. doi: 10.1016/j.rmcr.2019.100913. eCollection 2019.
Acquired neuralgic amyotrophy, described for the first time by Parsonage and Turner, is a rare idiopathic disease that may occur in otherwise normal healthy individuals. It typically begins with sudden, unilateral shoulder pain that may also involve the neck and/or arm. Less frequently, the disease involves nerves other than those of the brachial plexus, such as phrenic nerves, resulting in dyspnoea. The diagnosis is based on the clinical presentation and is generally supported by electroneurography/electromyography. We report the case of a 45-year-old white man who was referred to our clinic for acute dyspnoea preceded by severe neck and right shoulder pain. Corticosteroid therapy ameliorated the clinical picture, but without a complete recovery.
获得性神经性肌萎缩由帕森奇和特纳首次描述，是一种罕见的特发性疾病，可发生于其他方面正常健康的个体。它通常始于突然出现的单侧肩部疼痛，疼痛可能还累及颈部和/或手臂。较少见的情况下，该疾病累及臂丛神经以外的其他神经，如膈神经，导致呼吸困难。诊断基于临床表现，通常得到神经电图/肌电图的支持。我们报告一例45岁白人男性病例，该患者因严重颈部和右肩部疼痛后出现急性呼吸困难被转诊至我们诊所。皮质类固醇治疗改善了临床症状，但未完全恢复。
