Hassel B, Sawcer S
Babraham Institute, Cambridge, England.
Tidsskr Nor Laegeforen. 1998 Mar 10;118(7):1051-2.
Neuralgic amyotrophy is an inflammatory condition of the nerves of the brachial plexus, the cause of which is unknown. Clinically, it presents as acute, severe pain in the shoulder girdle, followed by paresthesia and flaccid paralysis of selected muscles in the upper limb. In its initial stages, the disease may easily be misdiagnosed as a musculoskeletal disorder. We describe a 38-year-old man who experienced acute, severe pain in both shoulders, and hypoesthesia and paresthesias in the right arm without preceeding trauma. The condition was first diagnosed as capsulitis of the shoulder joint, and the patient was treated with naproxen with no effect. Eight days after onset of the disease, flaccid paralysis occurred abruptly in the right biceps muscle and in the left spinati and serratus anterior muscles. Sensibility and muscle strength improved gradually without treatment during the following months.
神经性肌萎缩是一种臂丛神经的炎症性疾病，其病因不明。临床上，它表现为肩胛带急性剧痛，随后上肢特定肌肉出现感觉异常和弛缓性麻痹。在疾病初期，该病很容易被误诊为肌肉骨骼疾病。我们描述了一名38岁男性，他双肩突发剧痛，右臂感觉减退和感觉异常，且无先前创伤史。该病最初被诊断为肩关节囊炎，患者接受萘普生治疗但无效。发病8天后，右侧肱二头肌、左侧冈下肌和前锯肌突然出现弛缓性麻痹。在接下来的几个月里，感觉和肌肉力量未经治疗逐渐改善。
