Poster 153 Ultrasound Correlated Electrodiagnostic Diagnosis of Neuralgic Amyotrophy in a Collegiate Swimmer After Rapid Practice Intensity Change: A Case Report

Adam Lewno; Wendy Helkowski

doi:10.1016/j.pmrj.2016.07.194

Poster 153 Ultrasound Correlated Electrodiagnostic Diagnosis of Neuralgic Amyotrophy in a Collegiate Swimmer After Rapid Practice Intensity Change: A Case Report

PM&R ◽

10.1016/j.pmrj.2016.07.194 ◽

2016 ◽

Vol 8 (9) ◽

pp. S212

Author(s):

Adam Lewno ◽

Wendy Helkowski

Keyword(s):

Case Report ◽

Intensity Change ◽

Neuralgic Amyotrophy

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Clinical Case Report: Manifestation of Hereditary Neuralgic Amyotrophy in Childhood

Neuropediatrics ◽

10.1055/s-0034-1390657 ◽

2014 ◽

Vol 45 (S 01) ◽

Author(s):

L. Voges ◽

G. Stettner ◽

D. Weise ◽

K. Brockmann ◽

J. Gärtner ◽

...

Keyword(s):

Case Report ◽

Clinical Case ◽

Neuralgic Amyotrophy

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Notalgia paresthetica following neuralgic amyotrophy: a case report

Neurological Sciences ◽

10.1007/s10072-004-0223-9 ◽

2004 ◽

Vol 25 (1) ◽

pp. 27-29 ◽

Cited By ~ 7

Author(s):

P. Tacconi ◽

D. Manca ◽

G. Tamburini ◽

A. Cannas ◽

M. Giagheddu

Keyword(s):

Case Report ◽

Neuralgic Amyotrophy ◽

Notalgia Paresthetica

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Post-Cervical Decompression Parsonage-Turner Syndrome Represents a Subset of C5 Palsy: Six Cases and a Review of the Literature: Case Report

Neurosurgery ◽

10.1227/neu.0b013e3181f8254b ◽

2010 ◽

Vol 67 (6) ◽

pp. E1831-E1844 ◽

Cited By ~ 13

Author(s):

Justin M Brown ◽

Andrew Yee ◽

Renee A Ivens ◽

William Dribben ◽

Susan E Mackinnon

Keyword(s):

Case Report ◽

Turner Syndrome ◽

Decompression Surgery ◽

Nerve Reconstruction ◽

Neuralgic Amyotrophy ◽

C5 Palsy ◽

Management Algorithm ◽

History Of ◽

Motor Strength ◽

Structured Approach

Abstract BACKGROUND: Approximately 5% of cervical decompression cases are complicated by postoperative weakness. Parsonage-Turner syndrome (PTS) or neuralgic amyotrophy is known to be precipitated by surgery and unrelated to technical or structural issues. Our practice has seen a number of cases of PTS after cervical decompression surgery. In this case report, we discuss a series of such patients, highlighting the commonalities with the more frequently diagnosed C5 palsy. We conclude with our management algorithm. CLINICAL PRESENTATION: Six patients with post-cervical decompression PTS were referred to our institution during a 32-month period. All patients were examined physically, radiographically, and electromyographically and were followed for up to 2 years or until symptoms resolved. Conservative management was the rule, and surgical intervention, including nerve releases and nerve reconstruction, was undertaken in select circumstances. In the majority of patients (4 of 6 patients), pain management and physical therapy alone were used and achieved eventual resolution of pain and recovery of motor strength. The other 2 patients required adjunctive surgical procedures to maximize their outcomes. CONCLUSION: PTS accounts for a subset of patients experiencing postoperative weakness after cervical decompression operations. Although it is at times difficult to arrive at this diagnosis, an understanding of the history of PTS, among other causes of postoperative weakness, allows a structured approach to these patients. An evidence-based approach to management helps provide the best outcome for a given patient.

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