Bilateral neuralgic amyotrophy presenting with left vocal cord and phrenic nerve paralysis

Yi Min Chen, Gwo Chi Hu, Sho Jen Cheng

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

This article reports the difference between neuralgic amyotrophy and neuropathy caused by chemotherapy and radiation treatment which manifested with severe shoulder pain followed by marked weakness of bilateral upper arms and involvement of cranial nerves. A 62-year-old man presented with acute severe neuropathic pain at the left shoulder, bilateral shoulder weakness, hoarseness of voice from vocal cord palsy, and respiratory insufficiency from left diaphragm palsy, which all occurred sequentially over a 1-month period. The diagnosis of neuralgic amyotrophy was supported and differentiated from tumor-induced and radiation-induced neuropathy by clinical presentation, electrophysiologic and imaging studies. Unlike previ- ous reports of the onset of neuralgic amyotrophy being associated with initiation of radiation treatment in cancer patients, this report demonstrates that neuralgic amyotrophy can occur at any point of the malignant disease process after radiation and chemotherapy.

Original languageEnglish
Pages (from-to)680-684
Number of pages5
JournalJournal of the Formosan Medical Association
Volume106
Issue number8
DOIs
Publication statusPublished - Jan 1 2007
Externally publishedYes

Fingerprint

Brachial Plexus Neuritis
Phrenic Nerve
Vocal Cords
Paralysis
Radiation
Drug Therapy
Vocal Cord Paralysis
Hoarseness
Shoulder Pain
Cranial Nerves
Neuralgia
Diaphragm
Respiratory Insufficiency
Neoplasms
Arm
Therapeutics

Keywords

  • Nasopharyngeal cancer
  • Neuralgic amyotrophy
  • Phrenic nerve palsy
  • Radiation-induced plexopathy
  • Recurrent laryngeal nerve palsy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bilateral neuralgic amyotrophy presenting with left vocal cord and phrenic nerve paralysis. / Chen, Yi Min; Hu, Gwo Chi; Cheng, Sho Jen.

In: Journal of the Formosan Medical Association, Vol. 106, No. 8, 01.01.2007, p. 680-684.

Research output: Contribution to journalArticle

@article{20c26d1634184052afbe87157ac4c975,
title = "Bilateral neuralgic amyotrophy presenting with left vocal cord and phrenic nerve paralysis",
abstract = "This article reports the difference between neuralgic amyotrophy and neuropathy caused by chemotherapy and radiation treatment which manifested with severe shoulder pain followed by marked weakness of bilateral upper arms and involvement of cranial nerves. A 62-year-old man presented with acute severe neuropathic pain at the left shoulder, bilateral shoulder weakness, hoarseness of voice from vocal cord palsy, and respiratory insufficiency from left diaphragm palsy, which all occurred sequentially over a 1-month period. The diagnosis of neuralgic amyotrophy was supported and differentiated from tumor-induced and radiation-induced neuropathy by clinical presentation, electrophysiologic and imaging studies. Unlike previ- ous reports of the onset of neuralgic amyotrophy being associated with initiation of radiation treatment in cancer patients, this report demonstrates that neuralgic amyotrophy can occur at any point of the malignant disease process after radiation and chemotherapy.",
keywords = "Nasopharyngeal cancer, Neuralgic amyotrophy, Phrenic nerve palsy, Radiation-induced plexopathy, Recurrent laryngeal nerve palsy",
author = "Chen, {Yi Min} and Hu, {Gwo Chi} and Cheng, {Sho Jen}",
year = "2007",
month = "1",
day = "1",
doi = "10.1016/S0929-6646(08)60028-5",
language = "English",
volume = "106",
pages = "680--684",
journal = "Journal of the Formosan Medical Association",
issn = "0929-6646",
publisher = "Elsevier Science Publishers B.V.",
number = "8",

}

TY - JOUR

T1 - Bilateral neuralgic amyotrophy presenting with left vocal cord and phrenic nerve paralysis

AU - Chen, Yi Min

AU - Hu, Gwo Chi

AU - Cheng, Sho Jen

PY - 2007/1/1

Y1 - 2007/1/1

N2 - This article reports the difference between neuralgic amyotrophy and neuropathy caused by chemotherapy and radiation treatment which manifested with severe shoulder pain followed by marked weakness of bilateral upper arms and involvement of cranial nerves. A 62-year-old man presented with acute severe neuropathic pain at the left shoulder, bilateral shoulder weakness, hoarseness of voice from vocal cord palsy, and respiratory insufficiency from left diaphragm palsy, which all occurred sequentially over a 1-month period. The diagnosis of neuralgic amyotrophy was supported and differentiated from tumor-induced and radiation-induced neuropathy by clinical presentation, electrophysiologic and imaging studies. Unlike previ- ous reports of the onset of neuralgic amyotrophy being associated with initiation of radiation treatment in cancer patients, this report demonstrates that neuralgic amyotrophy can occur at any point of the malignant disease process after radiation and chemotherapy.

AB - This article reports the difference between neuralgic amyotrophy and neuropathy caused by chemotherapy and radiation treatment which manifested with severe shoulder pain followed by marked weakness of bilateral upper arms and involvement of cranial nerves. A 62-year-old man presented with acute severe neuropathic pain at the left shoulder, bilateral shoulder weakness, hoarseness of voice from vocal cord palsy, and respiratory insufficiency from left diaphragm palsy, which all occurred sequentially over a 1-month period. The diagnosis of neuralgic amyotrophy was supported and differentiated from tumor-induced and radiation-induced neuropathy by clinical presentation, electrophysiologic and imaging studies. Unlike previ- ous reports of the onset of neuralgic amyotrophy being associated with initiation of radiation treatment in cancer patients, this report demonstrates that neuralgic amyotrophy can occur at any point of the malignant disease process after radiation and chemotherapy.

KW - Nasopharyngeal cancer

KW - Neuralgic amyotrophy

KW - Phrenic nerve palsy

KW - Radiation-induced plexopathy

KW - Recurrent laryngeal nerve palsy

UR - http://www.scopus.com/inward/record.url?scp=34548478147&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548478147&partnerID=8YFLogxK

U2 - 10.1016/S0929-6646(08)60028-5

DO - 10.1016/S0929-6646(08)60028-5

M3 - Article

VL - 106

SP - 680

EP - 684

JO - Journal of the Formosan Medical Association

JF - Journal of the Formosan Medical Association

SN - 0929-6646

IS - 8

ER -