Neuroimaging of classic neuralgic amyotrophy.

Abstract:

INTRODUCTION:Neuralgic amyotrophy (NA) often imposes diagnostic problems. Recently, MRI and high-resolution ultrasound (HRUS) have proven useful in diagnosing peripheral nerve disorders. METHODS:We performed a chart and imaging review of patients who were examined using neuroimaging and who were referred because of clinically diagnosed NA between March 1, 2014 and May 1, 2015. RESULTS:Six patients were included. All underwent HRUS, and 5 underwent MRI. Time from onset to evaluation ranged from 2 weeks to 6 months. HRUS showed segmental swelling of all clinically affected nerves/trunks. Atrophy of muscles was detected in those assessed >1 month after onset. MRI showed T2-weighted hyperintensity in all clinically affected nerves, except for the long thoracic nerve, and denervation edema of muscles. CONCLUSIONS:HRUS and MRI are valuable diagnostic tools in NA. This could change the diagnostic approach from one now focused on excluding other disorders to confirming NA through imaging markers. Muscle Nerve 54: 1079-1085, 2016.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Lieba-Samal D,Jengojan S,Kasprian G,Wöber C,Bodner G

doi

10.1002/mus.25147

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1079-1085

issue

6

eissn

0148-639X

issn

1097-4598

journal_volume

54

pub_type

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