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
C2 - 17711804
AN - SCOPUS:34548478147
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 -