In:
Journal of Ultrasound in Medicine, Wiley, Vol. 37, No. 6 ( 2018-06), p. 1565-1574
Abstract:
The differential diagnosis of upper extremity mononeuritis multiplex includes neuralgic amyotrophy, vasculitic neuropathy, and Lewis‐Sumner syndrome. We describe 3 patients initially suspected of neuralgic amyotrophy, who had an extremely painful, protracted, progressive disease course, not fitting one of these established diagnoses. Nerve ultrasonography showed focal caliber changes of the roots, plexus, and limb nerves. Electromyography showed predominant multifocal axonopathy. Ongoing autoimmune neuropathy was suspected. Steroid treatment provided temporary relief, and intravenous immunoglobulin A sustained pain decrease and functional improvement. These patients appear to have extremely painful axonal inflammatory neuropathy, with a good response to immune‐modulating treatment.
Type of Medium:
Online Resource
ISSN:
0278-4297
,
1550-9613
Language:
English
Publisher:
Wiley
Publication Date:
2018
detail.hit.zdb_id:
2067124-6