Hourglass-like constrictions of the radial nerve in the neuralgic amyotrophy: A case report

Neuralgic amyotrophy (NA) is a peripheral nerve disorder that has a classical presentation as motor deficit after severe pain, but it is still overlooked or misdiagnosed. Formerly, the diagnosis was based on the clinical picture and electrophysiology; however, sophisticated imaging and surgical moda...

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Published inTurkish journal of physical medicine and rehabilitation Vol. 70; no. 2; pp. 279 - 281
Main Authors Koç, İsmail, Özenç, Betül, Kurt, Bülent, Erdoğan, Ersin, Odabaşı, Zeki
Format Journal Article
LanguageEnglish
Turkish
Published Turkey Galenos Yayinevi Tic. Ltd 01.06.2024
Bayçınar Medical Publishing
Subjects
Atrophy, Muscular
Case Report
Health aspects
Medical research
Medicine, Experimental
Physical therapy
Prognosis
Therapeutics, Physiological
neuralgic amyotrophy
Hourglass-like constriction
radial nerve palsy
neurolysis
neurorrhaphy
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Summary:Neuralgic amyotrophy (NA) is a peripheral nerve disorder that has a classical presentation as motor deficit after severe pain, but it is still overlooked or misdiagnosed. Formerly, the diagnosis was based on the clinical picture and electrophysiology; however, sophisticated imaging and surgical modalities showed structural abnormalities such as hourglass-like constrictions of the nerves. In this article, we present a case presenting with drop hand mimicking radial nerve entrapment. The patient was diagnosed with NA and surgery revealed hourglass-like constrictions. The clinical findings were improved after neurorrhaphy and physical therapy. In conclusion, hourglass-like constrictions can be prognostic factors of NA and should be searched carefully.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:2587-1250
1302-0234
2587-0823
2587-0823
DOI:10.5606/tftrd.2023.11554